TY - BOOK AU - Mullen,Kathleen J. AU - Frank,Richard G. AU - Rosenthal,Meredith B. ED - National Bureau of Economic Research. TI - Can You Get What You Pay For? Pay-For-Performance and the Quality of Healthcare Providers T2 - NBER working paper series PY - 2009/// CY - Cambridge, Mass. PB - National Bureau of Economic Research N1 - April 2009; Hardcopy version available to institutional subscribers N2 - Despite the popularity of pay-for-performance (P4P) among health policymakers and private insurers as a tool for improving quality of care, there is little empirical basis for its effectiveness. We use data from published performance reports of physician medical groups contracting with a large network HMO to compare clinical quality before and after the implementation of P4P, relative to a control group. We consider the effect of P4P on both rewarded and unrewarded dimensions of quality. In the end, we fail to find evidence that a large P4P initiative either resulted in major improvement in quality or notable disruption in care UR - https://www.nber.org/papers/w14886 UR - http://dx.doi.org/10.3386/w14886 ER -