Results from this study are consistent with other evidence from the
United States that hospital pay-for-performance programs have resulted in
little to no improvement in quality of care (Glickman et al. 2007; Ryan
2009; Ryan and Blustein 2011; Jha et al. 2012; Ryan, Blustein, and Casalino
2012). What this means for the future of HVBP is uncertain. The design of
HVBP will evolve in the coming years to increase the magnitude of financial
incentives and focus on measures of outcome quality (Ryan and
Blustein 2012). However, the number of incentivized measures will also
increase over time, potentially diluting the effects of increasing the magnitude
of incentives.