Skip to main content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.


The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

An Environmental Scan of Pay for Performance in the Hospital Setting: Final Report

Publication Date
Nov 29, 2007

Section 5001(b) of the Deficit Reduction Act of 2005 requires the Secretary to develop a plan to implement a value- based purchasing program for payments under Medicare for subsectioin (d) hospitals beginning with fiscal year 2009. To inform the development of the plan, the Assistant Secretary for Planning and Evaluation in collaboratioin with the Centers for Medicare and Medicaid Services contracted with RAND to conduct an environmental scan of hospital pay for performance programs. This report presents the results from the environmental scan, includes a review of the empirrical evidence about the impact of these hospital programs, a description of program design features and a summary of lessons learned from currently operating hospital programs. [182 PDF pages]

Product Type
Environmental Scan