SynthesisThe European journal of health economics : HEPAC : health economics in prevention and care2019
Design and effects of outcome-based payment models in healthcare: a systematic review.
Synthesis in The European journal of health economics : HEPAC : health economics in prevention and care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
40 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Value-Based Purchasing Design And Effect: A Systematic Review And Analysis.Health affairs (Project Hope) · 2023Pooled it
- Value-Based Provider Payment Initiatives Combining Global Payments With Explicit Quality Incentives: A Systematic Review.Medical care research and review : MCRR · 2020Pooled it
- Nasogastric vs. nasojejunal feeding in stroke patients under a DRG payment system: balancing clinical benefits and economic costs.Health economics review · 2026Article
- Paying for hospital care in seven central and Eastern European countries - a comparative analysis.Health economics review · 2026Article
- The impact of the global budget payment on healthcare fund expenditure in integrated delivery systems: evidence from China's county-level medical alliance reform.Frontiers in public health · 2026Article
- Temporal trends and associations between domestic public health spending, donor funding and tuberculosis outcomes in Africa: a serial cross-sectional study (1990-2022).BMJ public health · 2026Article
- Quantitative evaluation of China's new health insurance payment policy based on the policy modeling consistency (PMC) index model.BMC health services research · 2025Article
- Rethinking the Diabetes-Cardiovascular Disease Continuum: Toward Integrated Care.Journal of clinical medicine · 2025Article
- Neurosurgery 4.0: A Scoping Review of Current Trends and Challenges in Specialized Smart Hospitals.Cureus · 2025Review
- Health care provider payment schemes and their changes since 2010 across nine Central and Eastern European countries - a comparative analysis.Health policy (Amsterdam, Netherlands) · 2025Article
- Article
- Commissioning health services for First Nations, regional, and remote populations: a scoping review.BMC health services research · 2025Article
- Health care provider payment reforms in African states of the Commonwealth-a scoping review.Frontiers in public health · 2025Article
- Impact of pay-for-performance on hospital readmissions in Lebanon: an ARIMA-based intervention analysis using routine data.BMC health services research · 2024Article
- Impact of reimbursement systems on patient care - a systematic review of systematic reviews.Health economics review · 2024Review
- Escalating costs of innovative medicines: perspective and proposals.Frontiers in public health · 2024Article
- Value-Based Healthcare: A Primer for the Dermatologist.Dermatology (Basel, Switzerland) · 2024Review
- Commodification and healthcare in the third sector in England: from gift to commodity-and back?Public money & management · 2024Article
- Stakeholders' perspectives on capturing societal cost savings from a quality improvement initiative: A qualitative study.PloS one · 2024Article
- Evidence on the effectiveness of value-based payment schemes implemented in a hospital setting: A systematic review.Journal of education and health promotion · 2024Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionOutcome-based payment models (OBPMs) might solve the shortcomings of fee-for-service or diagnostic-related group (DRG) models using financial incentives based on outcome indicators of the provided care. This review provides an analysis of the characteristics and effectiveness of OBPMs, to determine which models lead to favourable effects.
methodsWe first developed a definition for OBPMs. Next, we searched four data sources to identify the models: (1) scientific literature databases; (2) websites of relevant governmental and scientific agencies; (3) the reference lists of included articles; (4) experts in the field. We only selected studies that examined the impact of the payment model on quality and/or costs. A narrative evidence synthesis was used to link specific design features to effects on quality of care or healthcare costs.
resultsWe included 88 articles, describing 12 OBPMs. We identified two groups of models based on differences in design features: narrow OBPMs (financial incentives based on quality indicators) and broad OBPMs (combination of global budgets, risk sharing, and financial incentives based on quality indicators). Most (5 out of 9) of the narrow OBPMs showed positive effects on quality; the others had mixed (2) or negative (2) effects. The effects of narrow OBPMs on healthcare utilization or costs, however, were unfavourable (3) or unknown (6). All broad OBPMs (3) showed positive effects on quality of care, while reducing healthcare cost growth. DISCUSSION: Although strong empirical evidence on the effects of OBPMs on healthcare quality, utilization, and costs is limited, our findings suggest that broad OBPMs may be preferred over narrow OBPMs.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.