Value-Based Provider Payment Initiatives Combining Global Payments With Explicit Quality Incentives: A Systematic Review

Daniëlle Cattel; Frank Eijkenaar

doi:10.1177/1077558719856775

Value-Based Provider Payment Initiatives Combining Global Payments With Explicit Quality Incentives: A Systematic Review

Daniëlle Cattel^*, Frank Eijkenaar

^*Corresponding author for this work

Health Systems and Insurance (HSI)

Research output: Contribution to journal › Review article › Academic › peer-review

43 Citations (Scopus)

192 Downloads (Pure)

Abstract

An essential element in the pursuit of value-based health care is provider payment reform. This article aims to identify and analyze payment initiatives comprising a specific manifestation of value-based payment reform that can be expected to contribute to value in a broad sense: (a) global base payments combined with (b) explicit quality incentives. We conducted a systematic review of the literature, consulting four scientific bibliographic databases, reference lists, the Internet, and experts. We included and compared 18 initiatives described in 111 articles/documents on key design features and impact on value. The initiatives are heterogeneous regarding the operationalization of the two payment components and associated design features. Main commonalities between initiatives are a strong emphasis on primary care, the use of “virtual” spending targets, and the application of risk adjustment and other risk-mitigating measures. Evaluated initiatives generally show promising results in terms of lower spending growth with equal or improved quality.

Original language	English
Pages (from-to)	511-537
Number of pages	27
Journal	Medical Care Research and Review
Volume	77
Issue number	6
Early online date	19 Jun 2019
DOIs	https://doi.org/10.1177/1077558719856775
Publication status	Published - 2020

Bibliographical note

Acknowledgments:
The authors are grateful to Erik Schut, two anonymous reviewers, and Tamara Konetzka for their helpful comments on earlier drafts of this article. In addition, our sincere thanks to Wichor Bramer for assistance with developing the search string and to Richard Heijink, Lieven Annemans, Maria Trottmann, Thomas McGuire, and Noaki Ikegami for validating our list of included VBP initiatives. The author(s) received no financial support for the research, authorship, and/or publication of this article.

Publisher Copyright:
© The Author(s) 2019.

Research programs

EMC NIHES-05-63-03 Competition

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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http://hdl.handle.net/1765/117662

Cite this

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title = "Value-Based Provider Payment Initiatives Combining Global Payments With Explicit Quality Incentives: A Systematic Review",

abstract = "An essential element in the pursuit of value-based health care is provider payment reform. This article aims to identify and analyze payment initiatives comprising a specific manifestation of value-based payment reform that can be expected to contribute to value in a broad sense: (a) global base payments combined with (b) explicit quality incentives. We conducted a systematic review of the literature, consulting four scientific bibliographic databases, reference lists, the Internet, and experts. We included and compared 18 initiatives described in 111 articles/documents on key design features and impact on value. The initiatives are heterogeneous regarding the operationalization of the two payment components and associated design features. Main commonalities between initiatives are a strong emphasis on primary care, the use of “virtual” spending targets, and the application of risk adjustment and other risk-mitigating measures. Evaluated initiatives generally show promising results in terms of lower spending growth with equal or improved quality.",

author = "Dani{\"e}lle Cattel and Frank Eijkenaar",

note = "Acknowledgments: The authors are grateful to Erik Schut, two anonymous reviewers, and Tamara Konetzka for their helpful comments on earlier drafts of this article. In addition, our sincere thanks to Wichor Bramer for assistance with developing the search string and to Richard Heijink, Lieven Annemans, Maria Trottmann, Thomas McGuire, and Noaki Ikegami for validating our list of included VBP initiatives. The author(s) received no financial support for the research, authorship, and/or publication of this article. Publisher Copyright: {\textcopyright} The Author(s) 2019.",

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Value-Based Provider Payment Initiatives Combining Global Payments With Explicit Quality Incentives: A Systematic Review

Abstract

Bibliographical note

Research programs

UN SDGs

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