The Incidental Economist astutely deconstructs the assumptions leading to the failure of the nationwide Hospital-Based Purchasing Program’s pay-for-performance penalties to reduce 30-day mortality. These assumptions include: 30-day mortality is the right outcome measure because it is feasible to measure 30-day mortality is a valid proxy for the quality of inpatient care delivered. As shown with readmissions based penalties and with other payContinue reading “Pay for performance penalties fail again”