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    Long-Term Care and Pay-for-Performance Programs

    Norton, Edward C. | March 2017
    Abstract
    The Center for Medicare and Medicaid Services has introduced several pay-for-performance programs in the last few years to encourage hospitals to improve quality of care and reduce costs. Some state Medicaid programs have also introduced pay-for-performance for nursing homes. Long-term care providers play an important role in hospital pay-for-performance programs because they can affect the readmission rate and also total episode payments. A good pay-for-performance program will focus on improving quality of care that affects health outcomes. In addition, that quality must vary across providers and be measurable. Furthermore, it is important that the measures be reported in a timely way, that both demand and supply respond to the measures, and that the measures be risk adjusted. Empirical data from Medicare beneficiaries in the state of Michigan show that mean episode payments and readmission rates in skilled nursing facilities vary widely and are sensitive to the number of observations. These practical matters create challenges for implementing pay-for-performance in practice. There is an extensive literature review of pay-for-performance in long-term care in the United States and in Asia.
    Citation
    Norton, Edward C.. 2017. Long-Term Care and Pay-for-Performance Programs. © Asian Development Bank Institute. http://hdl.handle.net/11540/8756.
    Keywords
    Aged Health
    Civil Society Development
    Infrastructure Development
    Infrastructure Development Projects
    Technology Development
    Underdevelopment
    Health Risk
    Health for All
    Health and Hygiene and the Poor
    Quality of Health Care
    Public Health
    Partnerships in Health Reform
    Health Systems
    Nutrition and Health Care
    Education, Health and Social Protection
    Access to Health Care
    Project finance
    Development programs
    Development strategy
    Government programs
    Infrastructure projects
    Industrial development
    Social change
    Sanitation
    Diseases
    Water Quality
    Health Hazards
    Health Care Services
    Health Standards
    Health Service Management
    Health Costs
    Electronics
    Computers
    Child Development
    Prenatal Care
    Nutrition Programs
    Child Nutrition
    Child Development
    Infrastructure
    Central planning
    Developing countries
    Partnership
    Joint venture
    Limited partnership
    Strategic alliances
    Sanitary engineering
    Sanitation systems
    Sanitation services
    Sanitary affairs
    Delivery of health care
    Prevention of disease
    Health status indicators
    Digital
    State and nutrition
    Nutrition and state
    Food policy
    Nutrition policy
    Obesity
    Hospices
    Sanitation services
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    Citable URI
    http://hdl.handle.net/11540/8756
    Metadata
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    adbi-wp680.pdf (1.536Mb)
    Author
    Norton, Edward C.
    Theme
    Health
    Development
     
    Copyright 2016-2021 Asian Development Bank Institute, except as explicitly marked otherwise
    Copyright 2016-2021 Asian Development Bank Institute, except as explicitly marked otherwise