An essential element in the pursuit of value-based health care is provider payment reform. This article aims to identify and analyze payment initiatives comprising a specific manifestation of value-based payment reform that can be expected to contribute to value in a broad sense: (a) global base payments combined with (b) explicit quality incentives. We conducted a systematic review of the literature, consulting four scientific bibliographic databases, reference lists, the Internet, and experts. We included and compared 18 initiatives described in 111 articles/documents on key design features and impact on value. The initiatives are heterogeneous regarding the operationalization of the two payment components and associated design features. Main commonalities between initiatives are a strong emphasis on primary care, the use of “virtual” spending targets, and the application of risk adjustment and other risk-mitigating measures. Evaluated initiatives generally show promising results in terms of lower spending growth with equal or improved quality.

Additional Metadata
Keywords accountable care, global payments, pay-for-performance, provider payments, value-based health care
Persistent URL dx.doi.org/10.1177/1077558719856775, hdl.handle.net/1765/117662
Journal Medical Care Research and Review
Citation
Cattel, D, & Eijkenaar, F. (2019). Value-Based Provider Payment Initiatives Combining Global Payments With Explicit Quality Incentives. Medical Care Research and Review. doi:10.1177/1077558719856775