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Pay-for-Performance in Health Care (CRS Report for Congress)

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Release Date Revised Dec. 12, 2006
Report Number RL33713
Report Type Report
Authors Jim Hahn, Domestic Social Policy Division
Source Agency Congressional Research Service
Older Revisions
  • Premium   Nov. 2, 2006 (32 pages, $24.95) add
Summary:

This report examines the factors that need to be considered when evaluating theadvantages and disadvantages of a pay-for-performance system in health care. Thereport first discusses the conceptual foundation for pay-for-performance systems andthen addresses their strengths, potential shortcomings, and unintended consequences.Following a discussion of the potential for pay-for-performance systems to control thegrowth in health care costs, the report examines the track record of pay-forperformanceprograms in health care, keeping an emphasis on experiences in theprivate sector and in public demonstration projects. The report then summarizes thepay-for-performance proposals contained in bills that have been introduced beforeCongress, and examines potential legislation likely to come before the Congress in thecoming year.