Will pay-for-performance and quality reporting affect health care disparities?
Pay-for-performance (P4P) and public quality-reporting programs can increase the quality of health care for the services being measured. However, unless carefully designed, these programs may have the unintended consequence of increasing racial and ethnic disparities. This paper describes ways in which P4P and public reporting programs may increase disparities and suggests ways in which programs might be designed that will make them likely to reduce, or at least not increase, disparities.
Casalino
Lawrence P
LP
University of Chicago, Illinois, USA. casalino@health.bsd.uchicago.edu
Elster
Arthur
A
Eisenberg
Andy
A
Lewis
Evelyn
E
Montgomery
John
J
Ramos
Diana
D
D004650:Employee Performance Appraisal / Q000458:organization & administration; D006297:Health Services Accessibility / Q000458:organization & administration*; D006801:Humans; D008913:Minority Groups; D011203:Poverty; D010818:Practice Patterns, Physicians'; D011287:Prejudice; D011785:Quality Assurance, Health Care / Q000379:methods*; D012051:Reimbursement Mechanisms / Q000458:organization & administration*; D014481:United States