Why hasn’t public value reporting led to more patients choosing high value care?

CMS has a number of quality initiatives to measure provider quality.  For instance, there is the Hospital  Inpatient Quality Reporting Program, the Home Health Quality Reporting Requirements, the Skilled Nursing Facility (SNF) Quality Reporting Program, the Inpatient Rehabilitation Facilities (IRF) Quality Reporting Program (QRP), among others.  Have these initiatives led to more patients choosing high value care? …

Do Surgeons Strategically Select Patients to Improve Scores on Health Care Quality Report Cards?

Do report cards improve quality or simply incentivize hospitals and physicians to stratetically choose which patients to treat? To answer this question, a paper by Chen and Meinecke (2012) examine coronary artery bypass graft (CABG) report cards introduced in Pennsylvania.  Report cards can improve quality but they can also induce selection behavior not only by…