AcademyHealth: Paying for performance – great in theory, not so much in reality

My latest post over at the AcademyHealth blog:

Pay for performance (P4P) makes sense intuitively. Instead of paying for quantity, we pay for quality. Hospitals that do better get bonuses, hospitals that don’t are penalized. The incentives align with outcomes we want.

Reality, though, isn’t that simple.

Go read the whole thing!

@aaronecarroll

Aaron Carroll

Aaron E. Carroll, MD, MS is co-Editor-in-Chief of The Incidental Economist and tweets at @aaronecarroll. He is the Chief Health Officer at Indiana University. He is also a Distinguished Professor of Pediatrics and Associate Dean for Research Mentoring at the Indiana University School of Medicine. In addition to contributing regularly to The New York Times and the Atlantic, he is the author of four books, most recently The Bad Food Bible.

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Aaron Carroll

Aaron E. Carroll, MD, MS is co-Editor-in-Chief of The Incidental Economist and tweets at @aaronecarroll. He is the Chief Health Officer at Indiana University. He is also a Distinguished Professor of Pediatrics and Associate Dean for Research Mentoring at the Indiana University School of Medicine. In addition to contributing regularly to The New York Times and the Atlantic, he is the author of four books, most recently The Bad Food Bible.

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