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2020
DOI: 10.3389/fpubh.2020.00165
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Volatility and Persistence of Value-Based Purchasing Adjustments: A Challenge to Integrating Population Health and Community Benefit Into Business Operations

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“…Turner and colleagues examined valuebased purchasing (VBP) in the context of Medicare's Inpatient Prospective Payment System and found significant unpredictability in individual facilities' VBP to from year to year. 6 They suggest that this uncertainty may dis-incentivize investment of resources into population health and community initiatives. These analyses highlight that evaluating the impact of quality-focused programs, like measuring quality itself, is challenging.…”
Section: How Does This Study Compare To Other Pay-for-performance Studies?mentioning
confidence: 99%
“…Turner and colleagues examined valuebased purchasing (VBP) in the context of Medicare's Inpatient Prospective Payment System and found significant unpredictability in individual facilities' VBP to from year to year. 6 They suggest that this uncertainty may dis-incentivize investment of resources into population health and community initiatives. These analyses highlight that evaluating the impact of quality-focused programs, like measuring quality itself, is challenging.…”
Section: How Does This Study Compare To Other Pay-for-performance Studies?mentioning
confidence: 99%