Although there is an eagerness to understand more about value-based purchasing (VBP) in health care, research methods examining the impact and implementation of the programs must be improved, according to this essay in Health Service Research in 2020.
Value-based purchasing, commonly called pay-for-performance, is a fundamental reform of how providers are reimbursed for care, shifting away from the fee-for-service model commonly used. If done right, VBP should encourage providers to be efficient and focused on quality of care and patient outcomes. However, this essay’s authors note significant shortcomings to the limited research available on VBP.
The authors suggest convening a roundtable of quantitative and qualitative experts to examine how researchers could conduct synthesis or meta-analysis research of VBP evaluations. While there is an eagerness to reform the payment system, the authors warn this should not overshadow the need for rigorous implementation and impact research.