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首页> 外文期刊>Journal of health economics >Using Global Ratings Of Health Plans To Improve The Quality Of Health Care
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Using Global Ratings Of Health Plans To Improve The Quality Of Health Care

机译：使用卫生计划的全球评级来提高卫生保健的质量

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摘要

Global ratings, such as those based on consumer satisfaction, are a commonly used form of report on the performance of health plans and providers. A simple averaging of the global rating by plan members leads to a problem: it gives a plan greater incentives to improve services used by low-cost members than services used by high-cost members. This paper presents a formal model of consumer formation of global ratings and the incentives these rating convey to plans. We use this model to characterize weights on consumer respondents to correct the incentive problem. We implement our proposed solution using data from the Consumer Assessments of Health Care Providers and Systems (CAHPS) and the Medicare Current Beneficiary Survey (MCBS). Our correction is low-cost, easily implemented on an on-going basis, and insensitive to assumptions about why health plans care about quality ratings.
机译：全球评级（例如基于消费者满意度的评级）是有关健康计划和提供者绩效的常用报告形式。计划成员对全球评级的简单平均得出一个问题：与高成本成员所使用的服务相比，它给计划带来了更大的动机来改善低成本成员所使用的服务。本文介绍了形成全球评级的消费者的正式模型，以及这些评级传达给计划的动机。我们使用该模型来表征消费者受访者的权重，以纠正激励问题。我们使用来自医疗保健提供者和系统的消费者评估（CAHPS）和Medicare当前受益人调查（MCBS）的数据来实施我们提出的解决方案。我们的修正是低成本的，易于持续实施，并且对卫生计划为何关心质量评级的假设不敏感。

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