Evidence-Informed Case Rates: Paying for Safer, More Reliable Care

Compares estimated payments to providers using evidence-informed case rates -- which combine global fees with allowances for complications and performance incentives -- with fee-for-service payments in myocardial infarction and diabetes cases

PROMETHEUS Payment: What's the Score?

Explains the scorecard used in "Provider payment Reform for Outcomes, Margins, Evidence, Transparency, Hassle-reduction, Excellence, Understandability, and Sustainability" (PROMETHEUS) to determine provider payments based on evidence-informed case rates

Measuring Provider Efficiency, Version 1.0, A Collaborative Multi-Stakeholder Effort

Provides accessible information about health provider efficiency, for use in creating a framework for measurement, and to act as a catalyst for stimulating the evolution of efficiency measurement as knowledge and understanding of the field grows

Evidence-Informed Case Rates: A New Health Care Payment Model

Suggests a new payment model whereby providers are paid a single, risk-adjusted payment across inpatient and outpatient settings to care for a patient diagnosed with a specific condition

Sustaining the Medical Home: How PROMETHEUS Payment Can Revitalize Primary Care

Argues for reforming the current fee-for-service payment system on the PROMETHEUS model of budgeting for a comprehensive episode of care for a condition. Analyzes the implications for a sustainable patient-centered medical home model of care delivery

Motivating public use of physician-level performance data: an experiment on the effects of message and mode.

Despite widening efforts to publicly report health care quality data, patients appear to make little use of these data. Several studies indicate patients' interest in physician-level information, but actual use of physician-level data remains unestablished. Using a randomized experimental design, this study evaluates the extent to which use of a Web site offering physician-level data is affected by three parameters: invitation mode (mail vs. e-mail), employment status (employed vs. retired), and invitation message tone (risk- vs. gain-focused). The results find significantly higher use among those invited by e-mail (p < .001) and among retired adults (p < .001). Message tone is not significantly associated with use rates, but a borderline significant result suggests that high-risk message recipients behave differently from those receiving gain-focused messages (p = .052). The findings emphasize the importance of convenience and process-simplicity in fostering public use of quality data and call for further study of message-tone effects