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Review
. 2009 Spring;30(3):1-13.

Pay-for-performance in nursing homes

Becky A Briesacher  1 , Terry S Field, Joann Baril, Jerry H Gurwitz
Affiliations
Review

Pay-for-performance in nursing homes

Becky A Briesacher et al. Health Care Financ Rev. 2009 Spring.

Abstract

Information on the impact of pay-for-performance programs is lacking in the nursing home setting. This literature review (1980-2007) identified 13 prior examples of pay-for-performance programs in the nursing home setting: 7 programs were active as of 2007, while 6 had been terminated. The programs were mostly short-lived, varied considerably in the choice of performance measures and pay incentives, and evaluations of the impact were rare.

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Figures

Figure 1
Figure 1. Number of Active Pay-for-Performance Programs in Nursing Homes, 1980-2007
Figure 2
Figure 2. Proportion of Programs with Performance Measures in Major Domains
See this image and copyright information in PMC

References

    1. Agency for Health Care Administration. Title XIX Long-Term Care Reimbursement Plan, Version XXX, Effective Date: July 1, 2006. 2006 Internet address: http://www.fdhc.state.fl.us/medicaid/cost_reim/pdf/long_term_care_v33.pdf (Accessed 2009.)
    1. Carter BJ. Characteristics Associated with Performance in Texas Medicaid Nursing Facilities: Findings from the FY2001 Performance-based Add-On (PBAO) Payment Program. 2002 Internet address: http://qmweb.dads.state.tx.us/Reports/PBAO_2002.pdf (Accessed 2009.)
    1. Centers for Medicare & Medicaid. Nursing Home Value-Based Purchasing Demonstration. 2008 Internet address: http://www.cms.hhs.gov/Demo-ProjectsEvalRpts/downloads/NHP4P_Summary.pdf (Accessed 2009.)
    1. Centers for Medicare & Medicaid Services. 2007 Action Plan for (Further Improvement of) Nursing Home Quality. 2006 Internet address: http://www.cms.hhs.gov/SurveyCertificationGenInfo/downloads/2007ActionPl... (Accessed 2009.)
    1. Committee on Quality of Health Care in America and Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. National Academy Press; Washington, DC.: 2001.

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