Description
Summary:This review is one in a series of analytic efforts designed to inform the policy debate related to how the purchasing function is being used as an instrument for quality. The author reviews evidence on the extent of quality-based purchasing by U.S. employers, generally viewed as pivotal to the national push for value in health care, and summarizes key employer efforts underway. A typology for categorizing purchaser strategies is provided. The author examines what is known about the impact of employer strategies on care delivery and concludes with a broader discussion of quality approaches.