title: No hospital left behind? Education policy lessons for value-based payment in healthcare.
abstract: Value-based payment systems have been widely implemented in healthcare in an effort to improve the quality of care. However, these programs have not broadly improved quality, and some evidence suggests that they may increase inequities in care. No Child Left Behind is a parallel effort in education to address uneven achievement and inequalities. Yet, by penalizing the lowest performers, No Child Left Behind's approach to accountability has led to a number of unintended consequences. This article draws lessons from education policy, arguing that financial incentives should be designed to support the lowest performers to improve quality.
authors.affiliation: Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, Michigan.
authors.forename: Kristin A
authors.initials: KA
authors.lastname: Maurer
authors.affiliation: Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, Michigan.
authors.forename: Andrew M
authors.initials: AM
authors.lastname: Ryan
mesh_terms: D002681:China; D003695:Delivery of Health Care / Q000191:economics* / Q000592:standards; D004493:Education / Q000592:standards*; D006761:Hospitals / Q000592:standards*; D006801:Humans; D058996:Quality Improvement / Q000592:standards*; D012051:Reimbursement Mechanisms; D014481:United States