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. 2007 May-Jun;26(3):w405-14.
doi: 10.1377/hlthaff.26.3.w405. Epub 2007 Apr 10.

Will pay-for-performance and quality reporting affect health care disparities?

Lawrence P Casalino  1 , Arthur Elster, Andy Eisenberg, Evelyn Lewis, John Montgomery, Diana Ramos
Affiliations

Will pay-for-performance and quality reporting affect health care disparities?

Lawrence P Casalino et al. Health Aff (Millwood). 2007 May-Jun.

Erratum in

  • Health Aff (Millwood). 2007 Nov-Dec;26(6):1794. Eisenberg, Andy [added]; Lewis, Evelyn [added]; Montgomery, John [added]; Ramos, Diana [added]

Abstract

Pay-for-performance (P4P) and public quality-reporting programs can increase the quality of health care for the services being measured. However, unless carefully designed, these programs may have the unintended consequence of increasing racial and ethnic disparities. This paper describes ways in which P4P and public reporting programs may increase disparities and suggests ways in which programs might be designed that will make them likely to reduce, or at least not increase, disparities.

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