Purchasing population health: Aligning financial incentives to improve health outcomes

Kindig, David A.

doi:10.1016/s0029-6554(99)90037-4

Cited by 19 publications

(20 citation statements)

References 50 publications

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“…Unlike most business organizations, which rely on traditional mechanisms of accountability, such as internal audits and income statements, to provide standard and institutionalized measures of effectiveness (Rose and Miller 1992;Power 1997), organizations whose mission it is to improve health must find tools that effectively measure changes in health status. Although progress is being made, no validated methods have yet emerged to measure health outcomes at the population level over the relevant time frames (Wolfson, Hourigan, and Johnson 1998), nor are there accepted definitions of population health status (Kindig 1998). Even if it were possible to measure population health status or system change accurately, it is difficult to demonstrate a cause-and-effect relation between those outcomes and CHP activities.…”

Section: Accountabilitymentioning

confidence: 99%

The Governance and Management of Effective Community Health Partnerships: A Typology for Research, Policy, and Practice

2000

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Community health partnerships (CHPs) are voluntary collaborations of diverse community organizations that have joined forces in order to pursue a shared interest in improving community health. Although these cross‐sectoral collaborations represent a way to address social determinants of health and disease in society, they suffer from governance and management problems associated with interorganizational relationships in general and health care challenges specifically. A typology of effective governance and management characteristics provides a systematic, theoretically based way of addressing dimensions of governance and management and serves as a guide in constructing, maintaining, and measuring successful partnerships. It offers a multidisciplinary perspective for classifying important organizational issues, identifying barriers to successful development and sustainability, and facilitating the attainment of goals.

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Section: Accountabilitymentioning

confidence: 99%

The Governance and Management of Effective Community Health Partnerships: A Typology for Research, Policy, and Practice

2000

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“…The key to creating coherent industry-wide com-munities and markets is measurement. Fryback [27][28] succinctly put the point, observing that the U.S.…”

Section: Measurement Mediating Instru-ments and Making Marketsmentioning

confidence: 99%

A Technology Roadmap for Intangible Assets Metrology

Fisher

Stenner

2011

SSRN Journal

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“…Var (A i B i ) depend on the joint distribution of A i and B i , but in the case where they are normally distributed it is possible to give formulae for these in terms of µ Ai , µ Bi , σ Ai , σ Bi and ρ i (see 'Appendix B').The total gain in health for the population will be given as: (7) with mean: (8) and variance: (9) …”

Section: Random Increases In Health Per Monetary Unit Spentmentioning

confidence: 99%

“…The term 'portfolio' has been used in the health context to describe a collection of treatments or interventions [6,7]. Hawe and Shiell [1] state that 'portfolio theory suggests that by deliberately diversifying the portfolio and including high-risk investments along with the safer bets, overall returns will be higher'.…”

Section: Introductionmentioning

confidence: 99%

Adapting portfolio theory for the evaluation of multiple investments in health with a multiplicative extension for treatment synergies

Bridges

Stewart

King

et al. 2002

Eur J Health Econom

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Portfolio theory is central to the analysis of risk in many areas of economics but is seldom used appropriately in health economics. This contribution examines the use of portfolio theory in the context of cost-effectiveness analysis (CEA). A number of modifications are needed to apply portfolio analysis to the economic evaluation of health care interventions. First, the method of reporting the results of a CEA, and consequently some of the underlying assumptions, needs to be modified. Second, portfolio theory needs to be expressed in terms of effects on individuals aggregated to a population. Finally, one needs to allow for the possibility of synergy between the various health interventions. This paper derives a general formula for a portfolio of health care interventions that allows for synergies between interventions where the population effects are aggregated from individual effects. A number of special cases are also derived to highlight the nature of the formulation of the modified portfolio theory. We conclude that, while modified portfolio theory adds a theoretical foundation to health care evaluations, it may not be operational until estimates of the correlation between interventions are available, and the question of uncertainty is resolved in health care evaluation. Also, while a synergy may be present at the individual level, when aggregated over a large population it may not be significant given the standard assumption of constant returns to scale.

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Purchasing population health: Aligning financial incentives to improve health outcomes

Cited by 19 publications

References 50 publications

The Governance and Management of Effective Community Health Partnerships: A Typology for Research, Policy, and Practice

The Governance and Management of Effective Community Health Partnerships: A Typology for Research, Policy, and Practice

A Technology Roadmap for Intangible Assets Metrology

Adapting portfolio theory for the evaluation of multiple investments in health with a multiplicative extension for treatment synergies

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