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Value-based provider payment: towards a theoretically preferred design

  • Daniëlle Cattel (a1), Frank Eijkenaar (a1) and Frederik T. Schut (a1)

Worldwide, policymakers and purchasers are exploring innovative provider payment strategies promoting value in health care, known as value-based payments (VBP). What is meant by ‘value’, however, is often unclear and the relationship between value and the payment design is not explicated. This paper aims at: (1) identifying value dimensions that are ideally stimulated by VBP and (2) constructing a framework of a theoretically preferred VBP design. Based on a synthesis of both theoretical and empirical studies on payment incentives, we conclude that VBP should consist of two components: a relatively large base payment that implicitly stimulates value and a relatively small payment that explicitly rewards measurable aspects of value (pay-for-performance). Being the largest component, the base payment design is essential, but often neglected when it comes to VBP reform. We explain that this base payment ideally (1) is paid to a multidisciplinary provider group (2) for a cohesive set of care activities for a predefined population, (3) is fixed, (4) is adjusted for the population’s risk profile and (5) includes risk-mitigating measures. Finally, some important trade-offs in the practical operationalisation of VBP are discussed.

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*Correspondence to: Erasmus School of Health Policy and Management, Erasmus University Rotterdam, Box 1738, 3000 DR Rotterdam, The Netherlands. Email:
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Altman, D, Cutler, DM Zeckhauser, RJ (2000) Enrollee mix, treatment intensity, and cost in competing indemnity and HMO Plans, Journal of Health Economics, 22(1): 2345.
Anderson, GF Weller, WE (1999) Methods of reducing the financial risk of physicians under capitation, Archives of Family Medicine, 8(2): 149155.
Ash, AS Ellis, RP (2012) Risk-adjusted payment and performance assessment for primary care, Medical Care, 50(8): 643653.
Barros, PP (2003) Cream-skimming, incentives for efficiency and payment method, Journal of Health Economics, 22(3): 419443.
Berenson, RA (2010) Shared Savings Program for accountable care organizations: a bridge to nowhere?, The American Journal of Managed Care, 16(10): 721726.
Berwick, DM (2011) Launching accountable care organizations – the proposed rule for the Medicare Shared Savings Program, The New England Journal of Medicine, 364(16): e32e35.
Berwick, DM, Nolan, TW Whittington, J (2008) The triple aim: care, health, and cost, Health Affairs, 27(3): 759769.
Blomqvist, A (1991) The doctor as double agent: information asymmetry, health insurance, and medical care, Journal of Health Economics, 10(4): 411432.
Bovbjerg, RR (1992) Reform of financing for health coverage: what can reinsurance accomplish?, Inquiry, 29(2): 158175.
Brilleman, SL, Gravelle, H, Hollinghurst, S, Purdy, S, Salisbury, C Windmeijer, F (2014) Keep it simple? Predicting primary health care costs with clinical morbidity measures, Journal of Health Economics, 35(100): 109122.
Burwell, SM (2015) Setting value-based payment goals: HHS efforts to improve U.S. health care, The New England Journal of Medicine, 372(10): 897899.
Busse, R Stahl, J (2014) Integrated care experiences and outcomes in Germany, the Netherlands, and England, Health Affairs, 33(9): 15491558.
Campbell, SM, Reeves, D, Kontopantelis, E, Sibbald, B Roland, M (2009) Effects of pay for performance on the quality of primary care in England, New England Journal of Medicine, 361(4): 368378.
Carter, RL (ed.) (1983) Reinsurance, Dordrecht: Springer Science and Business Media.
Casalino, L (2001) Canaries in a coal mine: California physician groups and competition, Health Affairs, 20(4): 97108.
Casalino, LP, Erb, N, Joshi, MS Shortell, SM (2015) Accountable care organizations and population health organizations, Journal of Health Politics, Policy and Law, 40(4): 819835.
Chang, RE, Lin, SP Aron, DC (2012) A pay-for-performance program in Taiwan improved care for some diabetes patients, but doctors may have excluded sicker ones, Health Affairs, 31(1): 93102.
Chernew, ME, Mechanic, RE, Landon, BE Safran, DG (2011) Private-payer innovation in Massachusetts: the Alternative Quality Contract, Health Affairs, 30(1): 5161.
Christianson, JB Conrad, D (2011) ‘Provider payment and incentives’, In: S., Glied and P., Smith (eds) The Oxford Handbook of Economics, New York: Oxford University Press. England: The Belknap Press of Harvard University Press, 624648.
Conrad, DA (2015) The theory of value-based payment incentives and their application to health care, Health Services Research, 50(2): 20572089.
Conrad, DA, Grembowski, D, Hernandez, SE, Lau, B Marcus-Smith, M (2014) Emerging lessons from regional and state innovation in value-based payment reform: balancing collaboration and disruptive innovation, The Milbank Quarterly, 92(3): 568623.
Conrad, DA Perry, L (2009) Quality-based financial incentives in health care: Can we improve quality by paying for it?, Annual Review of Public Health, 30(1): 357371.
Conrad, DA, Vaughn, M, Grembowski, D Marcus-Smith, M (2016) Implementing value-based payment reform: a conceptual framework and case examples, Medical Care Research and Review, 73(4): 437457.
Cutler, DM Ghosh, K (2012) The potential for cost savings through bundled episode payments, The New England Journal of Medicine, 366(12): 10751077.
Cutler, DM Zeckhauser, RJ (1998) ‘Adverse selection in health insurance’, In: A. M., Garber (ed.) NBER Book Series Frontiers in Health Policy Research, Volume 1, Cambridge, Massachusetts: MIT Press, 132.
De Bakker, DH, Struijs, JN, Baan, CB, Raams, J, de Wildt, JE, Vrijhoef, HJM Schut, FT (2012) Early results from adoption of bundled payment for diabetes care in the Netherlands show improvement in care coordination, Health Affairs, 31(2): 426433.
De Brantes, F Rastogi, A (2008) Evidence-informed case rates: paying for safer, more reliable care, Issue brief Commonwealth Fund, 1146(40): 113.
De Brantes, F, Rosenthal, MB Painter, M (2009) Building a bridge from fragmentation to accountability: the Prometheus payment model, The New England Journal of Medicine, 361(11): 10331036.
DeGruy, FV Etz, RS (2010) Attending to the whole person in the patient-centred medial home: the case for incorporating mental health care, substance abuse care, and health behaviour change, Families, Systems & Health: The Journal of Collaborative Family Healthcare, 28(4): 298307.
Donabedian, A (1988) The quality of care: How can it be assessed?, The Journal of the American Medical Association, 260(12): 17431748.
Douven, R, McGuire, TG McWilliams, JM (2015) Avoiding unintended incentives in ACO payment models, Health Affairs, 34(1): 143149.
Dranove, D, Kessler, D, McClellan, M, M Satterthwaite, M (2003) Is more information better? The effects of ‘report cards’ on health care providers, The Journal of Political Economy, 111(3): 555588.
Eggleston, K (2000) Risk selection and optimal health insurance-provider payment systems, The Journal of Risk and Insurance, 67(2): 173196.
Eggleston, K (2005) Multitasking and mixed systems for provider payment, Journal of Health Economics, 24(1): 211223.
EIB, Evaluatiecommissie Integrale Bekostiging (2012) Eindrapport van de Evaluatiecommissie Integrale Bekostiging. Integrale bekostiging van zorg: werk in uitvoering, Den Haag: Evaluatiecommissie Integrale Bekostiging.
Eijkenaar, F (2013) ‘Pay-for-Performance for Healthcare Providers: Design, Performance Measurement, and (Unintended) Effects’, Doctoral Dissertation, Erasmus University Rotterdam.
Eijkenaar, F Schut, FT (2015) Uitkomstenbekostiging in de zorg: een (on)begaanbare weg?, Rotterdam: Erasmus Universiteit Rotterdam.
Ellis, RP McGuire, TG (1986) Provider behaviour under prospective reimbursement, Journal of Health Economics, 5(2): 129151.
Ellis, RP McGuire, TG (1988) Insurance principles and the design of prospective payment methods, Journal of Health Economics, 7(3): 215237.
Ellis, RP McGuire, TG (2007) Predictability and predictiveness in health care spending, Journal of Health Economics, 26(1): 2548.
Ellis, RP Miller, MM (2008) ‘Provider payment methods and incentives’, In: H. K., Heggenhougen and S. R., Quah (eds) International Encyclopaedia of Public Health, Amsterdam: Elsevier Inc, 395402.
Enthoven, AC (1988) Theory and Practice of Managed Competition in Health Care Finance, Amsterdam: Elsevier Science.
Epping-Jordan, JE, Pruitt, SD, Bengoa, R Wagner, EH (2004) Improving the quality of health care for chronic conditions, Quality and Safety in Health Care, 13(4): 299305.
Folland, S, Goodman, AC Stano, M (2013) The Economics of Health and Health Care, Boston: Pearson Education.
Frakt, AB Mayes, R (2012) Beyond capitation: how new payment experiments seek to find the sweet spot in amount of risk providers and payers bear, Health Affairs, 3(9): 19511958.
Frank, RG Lave, JR (1989) A comparison of hospital responses to reimbursement policies for Medicaid psychiatric patients, The Rand Journal of Economics, 20(4): 588600.
Frank, RG McGuire, TG (1998) The economic functions of carve outs in managed care, The American Journal of Managed Care, 4(25): 3139.
Frølich, A, Talavera, JA, Broadhead, P Dudley, RA (2007) A behavioral model of clinician responses to incentives to improve quality, Health Policy, 80(1): 179193.
Gaynor, M Gertler, P (1995) Moral hazard and risk spreading in partnerships, The RAND Journal of Economics, 26(4): 591613.
Gaynor, M, Rebitzer, JB Taylor, LJ (2004) Physician incentives in health maintenance organizations, The Journal of Political Economy, 112(4): 915931.
Glickman, SW, Ou, F, DeLong, ER, Roe, M, Lytle, B, Mulgund, J, Rumsfeld, J, Gibler, W, Ohman, EM, Schulman, K Peterson, ED (2007) Pay for performance, quality of care, and outcomes in acute myocardial infarction, Journal of the American Medical Association, 297(21): 23732380.
Hart, O (2003) Incomplete contracts and public ownership: remarks and an application to public-private partnerships, The Economic Journal, 113(486): C69C76.
Hildebrandt, H, Hermann, C, Knittel, R, Richter-Reichhelm, M, Siegel, A Witzenrath, WS (2010) Gesundes Kinzigtal Integrated Care: improving population health by a shared health gain approach and a shared savings contract, International Journal of Integrated Care, 10(2): 115.
Hildebrandt, H, Schulte, T Stunder, B (2012) Triple aim in Kinzigtal, Germany: improving population health, integrating health care and reducing costs of care – lessons for the UK?, Journal of Integrated Care, 20(4): 205222.
Hsieh, HM, Tsai, SL, Mau, LW Chiu, HC (2016) Effects of changes in diabetes pay-for-performance incentive designs on patient risk selection, Health Services Research, 51(2): 667686.
Holmstrom, B Milgrom, P (1991) Multitask principal-agent analyses: incentive contracts, asset ownership, and job design, Journal of Law, Economics, and Organization, 7(1): 2452.
Hussey, PS, Ridgely, MS Rosenthal, MB (2011) The PROMETHEUS bundled payment experiment: slow start shows problems in implementing new payment models, Health Affairs, 30(11): 21162124.
Iezzoni, LI (ed.) (2003) Risk Adjustment for Measuring Health Care Outcomes, Chicago: Health Administration Press.
IOM, Institute of Medicine (2001) Crossing the Quality Chasm: A New Health System for the 21st Century, Washington DC: National Academies Press.
Jegers, M, Kesteloot, K, de Graeve, D Gilles, W (2002) A typology for provider payment systems in health care, Health Policy, 60(3): 255273.
Jensen, MC Meckling, WH (1976) Theory of the firm: managerial behaviour, agency costs and ownership structure, Journal of Financial Economics, 3(4): 305360.
Kahneman, D Tversky, A (1979) Prospect theory: an analysis of decision under risk, Econometrica, 47(2): 263292.
Kindig, DA (2007) Understanding population health terminology, The Milbank Quarterly, 85(1): 139161.
Laffont, J Martimort, D (2002) The Theory of Incentives: The Principal-Agent Model, Princeton: Princeton University Press.
Laffont, J Tirole, J (1993) A Theory of Incentives in Procurement and Regulation, Cambridge, Massachusetts: MIT Press.
Layton, TJ, McGuire, TG Sinaiko, AD (2016) Risk corridors and reinsurance in health insurance marketplaces: insurance for insurers, American Journal of Health Economics, 2(1): 6695.
Leijten, FRM, Struckmann, V, van Ginneken, E, Czypionka, T, Krauss, M, Reiss, M, Tsiachristas, A, Boland, M, de Bont, A, Bal, R, Busse, R Rutten-van Mölken, M (2017) ‘The SELFIE framework for integrated care for multi-morbidity: development and description’, Health Policy, (in press).
Lewis, VA, McGlurg, AB, Smith, J, Fisher, ES Bynum, JPW (2013) Attributing patients to accountable care organizations: performance year approach aligns stakeholders’ interests, Health Affairs, 32(3): 587595.
Lindenauer, PK, Remus, D, Roman, S, Rothberg, MB, Benjamin, EM, Ma, A Bratzler, DW (2007) Public reporting and pay for performance in hospital quality improvement, The New England Journal of Medicine, 356(5): 486496.
Marmor, T, Oberlander, J White, J (2011) Medicare and the federal budget: misdiagnosed problems, inadequate solutions, Journal of Policy Analysis and Management, 30(4): 928934.
Marques, RC Berg, S (2011) Public-private partnership contracts: a tale of two cities with different contractual arrangements, Public Administration, 89(4): 15851603.
Maskin, E Tirole, J (1999) Unforeseen contingencies and incomplete contracts, Review of Economic Studies, 66(1): 83114.
McClellan, M, Kent, J, Beales, S, Macdonell, M, Thoumi, A Shuttleworth, A (2013) Focusing Accountability on the Outcomes that Matter. Retrieved from [28 January 2017].
McConnell, KJ, Chang, AM, Cohen, DJ, Wallace, N, Chernew, ME, Kautz, G, McCarty, D, McFarland, B, Wright, B Smith, J (2014) Oregon’s Medicaid transformation: an innovative approach to holding a health system accountable for spending growth, Healthcare, 2(3): 163167.
McGuire, TG (2000) ‘Physician agency’, In: A. J., Culyer and J. P., Newhouse (eds) Handbook of Health Economics, Amsterdam: Elsevier Science B.V., 461536.
McGuire, TG (2011) ‘Physician agency and payment for primary medical care’, In: S., Glied and P., Smith (eds) The Oxford Handbook of Health Economics, New York: Oxford University Press Inc, 602623.
McNeil, BJ, Pauker, SJ, Sox, HC Jr Tversky, A (1982) On the elicitation of preferences for alternative therapies, The New England Journal of Medicine, 306(21): 12591262.
McWilliams, JM, Chernew, EC, Landon, BE Schwartz, AL (2015) Performance differences in year 1 of Pioneer Accountable Care Organizations, The New England Journal of Medicine, 372(20): 19271936.
Mechanic, RE Altman, SH (2009) Payment reform options: episode payment is a good place to start, Health Affairs, 28(2): w286w71.
Mechanic, R Tompkins, C (2012) Lessons learned preparing for Medicare bundled payments, The New England Journal of Medicine, 367(20): 18731875.
Mehrotra, A Hussey, P (2015) Including physicians in bundled hospital care payments: time to revisit an old idea?, The Journal of the American Medical Association, 313(19): 19071908.
Mendelson, A, Kondo, K, Damberg, C, Low, A, Motu’ apuaka, M, Freeman, M, O’Neil, M, Relevo, R Kansagara, D (2017) The effects of pay-for-performance programs on health, health care use, and processes of care: a systematic review, Annals of Internal Medicine, 166(5): 341353.
Miller, HD (2009) From volume to value: better ways to pay for health care, Health Affairs, 28(5): 14181428.
Milstein, R Schreyögg, J (2016) Pay for performance in the inpatient sector: a review of 34 P4P programs in 14 OECD countries, Health Policy, 120(10): 11251140.
Mullen, KJ, Frank, RG Rosenthal, M (2010) Can you get what you pay for? Pay-for-performance and the quality of healthcare providers, RAND Journal of Economics, 41(1): 6491.
Newhouse, JP (1996) Reimbursing health plans and health providers: efficiency in production versus selection, Journal of Economic Literature, 34(3): 12361263.
Newhouse, JP (1989) Do unprofitable patients face access problems?, Health Care Financing Review, 11(2): 3342.
Newhouse, JP, Buntin, MB Chapman, JD (1997) Risk adjustment and Medicare: taking a closer look, Health Affairs, 16(5): 2643.
Newhouse, JP Byrne, DJ (1988) Did Medicare’s prospective payment cause lengths of stay to fall?, Journal of Health Economics, 7(4): 413416.
Olson, M (1965) The Logic of Collective Action: Public Goods and the Theory of Groups, Cambridge, Massachusetts: Harvard University Press.
Omachi, TA, Gregorich, SE, Eisner, MD, Penaloza, RA, Tolstykh, IV, Yelin, EH, Iribarren, C, Dudley, RA Blanc, PD (2013) Risk adjustment for health care financing in chronic disease: What are we missing by failing to account for disease severity?, Medical Care, 51(8): 740747.
Pham, HH, Ginsburg, PB, Lake, TK Maxfield, MM (2010) ‘Episode-Based Payments: Charting a Course for Health Care Payment Reform’, Report No. Policy Analysis 1. Retrieved from National Institute for Health Care Reform website:
Phipps-Taylor, M Shortell, SM (2016) More than money: motivating physician behavior change in accountable care organizations, The Milbank Quarterly, 94(4): 832861.
Pollack, DA, Raney, LE Vanderlip, ER (2012) ‘Integrated care and psychiatrists’, In: H. L., McQuistion, W. E., Sowers, J. M., Ranz and J. M., Feldman (eds) Handbook of Community Psychiatry., New York: Springer, 163175.
Porter, ME (2009) A strategy for health care reform: toward a value-based system, The New England Journal of Medicine, 361(2): 109112.
Porter, ME (2010) What is value in health care?, The New England Journal of Medicine, 363(26): 24772481.
Porter, ME Kaplan, MS (2016) How to pay for health care?, Harvard Business Review, 94(7/8): 88102.
Porter, ME Teisberg, EO (2006) Redefining Health Care: Creating Value-Based Competition on Results, Boston: Harvard Business Review.
Prendergast, C (1999) The provision of incentives in firms, Journal of Economic Literature, 37(1): 763.
Pronovost, PJ (2013) Enhancing physicians’ use of clinical guidelines, The Journal of the American Medical Association, 310(23): 25012502.
Richardson, J (1981) ‘The inducement hypothesis: that doctors generate demand for their own services’, In: J., van der Graag and M., Perlmand (eds) Health, Economics and Health Economics, Amsterdam: North-Holland Publishing Company, 189214.
Ridgely, MS, de Vries, D, Bozic, KJ Hussey, PS (2014) Bundled payment fails to gain a foothold in California: the experiment of the IHA bundled payment demonstration, Health Affairs, 33(8): 13451352.
Robinson, JC (2001) Theory and practice in design of physician payment incentives, Milbank Quarterly, 79(2): 149177.
Rose, S, Zaslavsky, AM McWilliams, JM (2016) Variation in accountable care organization spending and sensitivity to risk adjustment: implications for benchmarking, Health Affairs, 35(3): 440448.
Ross, SA (1973) The economic theory of agency: the principal’s problem, American Economic Review, 62(2): 134139.
Ryan, AM, Shortell, SM, Ramsay, PP Casalino, LP (2015) Salary and quality compensation for physician practices participating in accountable care organizations, Annals of Family Medicine, 13(4): 321324.
Sharfstein, JM (2016) Global budgets for rural hospitals, The Milbank Quarterly, 94(2): 255259.
Shortell, SM (2013) Bridging the divide between health and health care, The Journal of the American Medical Association, 309(11): 11211122.
Song., Z (2014) ‘Payment Reform in Massachusetts: Health Care Spending and Quality in Accountable Care Organizations 4 Years into Global Payment’, Doctoral Dissertation, Harvard Medical School.
Song, Z, Safran, DB, Landon, BE, Landrum, MB, He, Y, Mechanic, RE, Day, MP Chernew, ME (2012) The Alternative Quality Contract in Massachusetts, based on global budgets, lowered medical spending and improved quality, Health Affairs, 31(8): 18851894.
Sood, N (2011) Medicare’s bundled payment pilot for acute and postacute care: analysis and recommendations on where to begin, Health Affairs, 30(9): 17081717.
Spence, AM Zeckhauser, RJ (1971) Insurance, information and individual action, American Economic Review, 61(2): 380387.
Silberberg, E (1990) The Structure of Economics: A Mathematical Analysis, San Francisco: McGraw-Hill.
Steel, N, Maisey, S, Clark, A, Fleetcroft, R Howe, A (2007) Quality of clinical primary care and targeted incentive payments: an observational study, British Journal of General Practice, 57(539): 449454.
Town, R, Wholey, DR, Kralewski, J Dowd, B (2004) Assessing the influence of incentives on physicians and medical groups, Medical Care Research and Review, 61(3): 80S118S.
Tsiachristas, A (2015) ‘Payment and Economic Evaluation of Integrated Care’, Doctoral Dissertation, Erasmus University Rotterdam.
Tsiachristas, A, Dikkers, C, Boland, M Rutten-van Molken, MP (2013) Exploring payment schemes used to promote integrated chronic care in Europe, Health Policy, 113(3): 296304.
Van Barneveld, EM, Lamers, LM, van Vliet, RCJA van de Ven, WPMM (1998) Mandatory pooling as a supplement to risk-adjusted capitation payments in a competitive health insurance market, Social Science & Medicine, 47(2): 223232.
Van de Ven, WPMM (2014) ‘Risk equalization and risk adjustment, the European perspective’, In: A. J., Culyer (ed.) Encyclopedia of Health Economics, San Diego: Elsevier, 281288.
Van de Ven, WPMM Ellis, RP (2000) ‘Risk adjustment in competitive health plan markets’, In: A. J., Culyer and J. P., Newhouse (eds) Handbook of Health Economics, Amsterdam: Elsevier Science, 10031092.
Van Exel, NJ, Koopmanschap, MA, Scholte op Reimer, W, Niessen, LW Huijsman, R (2005) Cost-effectiveness of integrated stroke services, QJM, 98(6): 415425.
Van Vliet, RCJA (1992) Predictability of individual health care expenditures, The Journal of Risk and Insurance, 59(3): 443461.
Vermaas, A (2006) ‘Agency, Managed Care and Financial-Risk Sharing in General Medical Practice’, Doctoral Dissertation, Erasmus University Rotterdam.
Vlaanderen, FP, Tanke, MA, Bloem, BR, Faber, MJ, Eijkenaar, F, Schut, FT Jeurissen, PPT (2018) Design and effects of outcome-based payment models in healthcare: a systematic review, European Journal of Health Economics, doi: 10.1007/s10198-018-0989-8 [Epub ahead of print].
Von Eije, JH (1989) ‘Reinsurance Management: A Financial Exposition’, Doctoral Dissertation, Erasmus University Rotterdam.
Welch, WP (1999) Bundled Medicare payment for acute and postacute care, Health Affairs, 17(6): 6981.
Wilensky, GR (2014) Medicare physician payment reform in 2014 is looking unlikely, The Milbank Quarterly, 92(2): 182185.
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