Research Review - Final – Aug. 27, 2012
Closing the Quality Gap Series: Quality Improvement Interventions To Address Health Disparities
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Two New Quality Reports: Impact of Bundled Payments and Interventions to Reduce Disparities
AHRQ has released two reports that are part of a larger initiative, Closing the Quality Gap: Revisiting the State of the Science, and build on an earlier AHRQ series of evidence reports, Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies. One report prepared by AHRQ’s RAND Evidence-based Practice Center found that the introduction of bundled payments to reimburse providers for the expected cost of related health care services reduced health care spending and use. But the evidence for the effect of bundled payments on quality measures was inconsistent and generally had small effects. The researchers found the overall evidence to be low because most of the studies examined bundled payment for single institutions and many had quality concerns. The lead researcher Peter S. Hussey, Ph.D., says the report provides policymakers some support that bundling payment is likely to be an effective strategy, and while the method’s effects on quality are less certain, the evidence does not support the worst concerns about potentially adverse effects. Select to access the report, “Bundled Payment: Effects on Health Care Spending and Quality.” The other report in this series, AHRQ’s Vanderbilt University Evidence-based Practice Center researchers led by Melissa L. McPheeters, Ph.D., found that, as a whole, quality interventions to reduce health care disparities have not been shown to be effective, although they did find a few studies showing that quality improvement interventions affected health care disparities in certain disadvantaged populations. Select to access the report, “Quality Improvement Interventions to Address Health Care Disparities.”
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