Evidence on the effectiveness of value-based payment schemes implemented in a hospital setting: A systematic review.

Healthcare providers can potentially be incentivized to deliver care to maximize patient benefit while managing and controlling resource use.[ 31 ] In the past, policy interventions in reimbursement were based on cost containment;[ 32 ] however, new payment methods are designed with the aim of improving performance (efficiency and quality).[ 33 ] One study found negative and highly significant associations between the VBP penalty rate and both operating and total margins,[ 10 ] whereas a study by Roberts (2019) showed no significant relationship between financial incentives and Medicare spending.[ 11 ] Another study found that the relationships between Magnet recognition, outcome, and efficiency were not statistically significant.[ 7 ] A study by Izón (2017)[ 34 ] reaches different conclusion, finding an association between quality scores and increased operating costs.

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