Letters Value Based Purchasing pay for performance programme and patient mortality

Should payment for performance depend on mortality?

BMJ 2016; 353 doi: https://doi.org/10.1136/bmj.i3429 (Published 22 June 2016) Cite this as: BMJ 2016;353:i3429
  1. Philippe Loirat, medical adviser1,
  2. Marie Ferrua, researcher1,
  3. Benoît Lalloué, researcher1,
  4. Aude Fourcade, researcher1,
  5. Etienne Minvielle, professor1
  1. 1Health Care Management Unit EA 7348 MOS-EHESP, Gustave Roussy, 114, Rue Édouard-Vaillant, 4805 Villejuif, France
  1. loirat.philippe{at}wanadoo.fr

The introduction of the Hospital Value Based Purchasing (HVBP) programme, as shown recently by Jose F Figueroa and colleagues,1 did not improve 30 day mortality of Medicare beneficiaries admitted to US hospitals for three incentivised conditions. We agree with the authors’ conclusion that an “appropriate mix of quality metrics and incentives to improve patient outcomes” has yet …

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