A health care coalition in Maine has piloted a performance-based incentive payment program that creates a single statewide program, based on common standards. Incentive payments were funded by a hospital's financial guarantee that was matched by employers. A two-step incentive allocation methodology differentiates adequate and superior performance. The incentive model is sufficiently flexible to accommodate different settings and evolving performance standards. This case study provides useful insights to payers and hospitals that are considering similar regional initiatives, emphasizing the collaborative context that underscored this venture.
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| http://dx.doi.org/10.1377/hlthaff.26.3.817 | DOI Listing |
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The impact of the Lesotho health reform in the re-structuring of the village health workers program.
BMC Health Serv Res
January 2025
Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.
Background: Community Health Workers locally known as Village Health Workers (VHW) in Lesotho are key members of the primary health workforce, and has been playing a significant role in building primary health systems in many countries and they can fill significant gaps in human resources as low and middle income countries work towards universal health coverage in the era of Sustainable Development Goals (SDGs). The 2014 Lesotho health reform restructured the VHW program to compensate, professionalize, and integrate VHWs into primary care services. We sought to document the ways in which the VHW program changed as a result of the health reform and the perceived impact of those changes.
View Article and Find Full Text PDFRewards transiently and automatically enhance sustained attention.
J Exp Psychol Gen
January 2025
Department of Psychology, Yale University.
Our ability to maintain a consistent attentional state is essential to many aspects of daily life. Still, despite our best efforts, attention naturally fluctuates between more and less vigilant states. Previous work has shown that offering performance-based rewards or incentives can help to buffer against attentional lapses.
View Article and Find Full Text PDFDoes Merit-based Incentive Payment System Performance Differ Based on Orthopaedic Surgeon Gender?
Clin Orthop Relat Res
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Department of Orthopedic Surgery, Mayo Clinic, Phoenix, AZ, USA.
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View Article and Find Full Text PDFHow Does the Context Shape the Technical Support from the Provincial Health Administration to District Health Management Teams in the Democratic Republic of Congo? A Realist Evaluation.
Int J Environ Res Public Health
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École de Santé Publique, Université Libre de Bruxelles, 1070 Bruxelles, Belgium.
Since 2014, the health sector in the Democratic Republic of the Congo has been undergoing reforms aimed at strengthening the Provincial Health Administration (PHA) to better support health district development through technical support to district health management teams (DHMTs). However, there is limited understanding of how, for whom, and under what conditions this support works. Using a realist evaluation approach, this study aimed to test an initial program theory of technical support to DHMTs by PHA staff in Kasai Central Province.
View Article and Find Full Text PDFPrimary Care-Based Digital Health-Enabled Stroke Management Intervention: Long-Term Follow-Up of a Cluster Randomized Clinical Trial.
JAMA Netw Open
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School of Public Health, Wuhan University, Wuhan, China.
Importance: Despite evidence of the short-term benefits of multicomponent primary care-based interventions, their long-term effects are unproven.
Objective: To evaluate the long-term outcomes of a system-integrated technology-enabled model of care (SINEMA intervention) for stroke management for systolic blood pressure (BP) and other outcomes among patients with stroke in China.
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