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Pay-for-Performance Study Results ‘Sobering’
Health Leaders Media

After six years, the 252 hospitals that participated in Premier Inc.’s large pay-for performance program, on which Medicare’s current value-based purchasing rules are based, did not have lower 30-day mortality rates compared with 3,363 non-participating hospitals, according to a Harvard-based report. The study calls into question whether pay-for-performance models that mostly use process measures translate to better outcomes—in this case the reduction of 30-day mortality rates, said Ashish K. Jha, MD, of the Harvard School of Public Health Department of Health Policy and Management, and co-authors.