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Volume 354:864-870 February 23, 2006 Number 8
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Strategies for Improving Surgical Quality — Should Payers Reward Excellence or Effort?
Nancy J.O. Birkmeyer, Ph.D., and John D. Birkmeyer, M.D.

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Along with many other stakeholders, payers are taking an increasingly active interest in the quality of health care. Simple but effective therapies related to disease prevention, screening, and hospital-based medical care are often substantially underused.1,2,3 As incentives, payers have implemented a wide range of pay-for-performance programs that reward physicians (or health plans) financially for high rates of compliance with evidence-based guidelines for care (e.g., appropriate use of screening mammography).4 In the area of surgery, the wide variation in performance by both hospitals and surgeons suggests similar opportunities for payers to encourage improvements in quality.5,6,7,8,9

With regard to surgery, however, payers . . . [Full Text of this Article]

Centers of Excellence

Pay for Performance

Pay for Participation

Conclusions


Source Information

From the Michigan Surgical Collaborative for Outcomes Research and Evaluation, Department of Surgery, University of Michigan, Ann Arbor.


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