For the twenty-four programs evaluated by previously
published literature, all incentivizing spending reduction and quality improvement, the authors find that “higher-intensity VBP programs are more frequently associated with desired quality processes, utilization measures, and spending reductions than lower-intensity programs.” Lower-intensity programs tended to be associated with null findings.
Pandey and coauthors also find that nonfinancial supports were present in all but one of the evaluated programs, suggesting that VBP program designers prioritize nonfinancial supports.
They also
link VBP to desired outcomes for both quality improvements and spending reduction, but not with spending reduction alone.
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Project HOPE is a global health and humanitarian relief organization that places power in the hands of local health care workers to save lives across the globe. Project HOPE has published Health Affairs since 1981.
