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Lessons from Medicare's Demonstration Projects on Value-Based Payment: Working Paper 2012-02

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  • Lyle Nelson

Abstract

This paper summarizes the results of Medicare demonstrations of value-based payment systems, which give providers financial incentives to improve the quality and efficiency of care. Only one of the four demonstrations for which results are available has yielded significant savings for the Medicare program. In that demonstration, Medicare made bundled payments to hospitals and physicians to cover all services connected with heart bypass surgeries, and Medicare spending for those services declined by about 10 percent. The other demonstrations appear to have resulted in little

Suggested Citation

  • Lyle Nelson, 2012. "Lessons from Medicare's Demonstration Projects on Value-Based Payment: Working Paper 2012-02," Working Papers 42925, Congressional Budget Office.
    • Handle: RePEc:cbo:wpaper:42925
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    File URL: https://www.cbo.gov/sites/default/files/112th-congress-2011-2012/workingpaper/WP2012-02_Nelson_Medicare_VBP_Demonstrations_1.pdf
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    Cited by:

    1. Taylor J. Christensen, 2016. "A framework for guiding efforts to reward value instead of volume," International Journal of Health Economics and Management, Springer, vol. 16(2), pages 175-187, June.

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