5. Paying for quality The Quality and Outcomes Framework
The United Kingdom Results
The United States
Influenza immunisation
Influenza immunisation
Incentivized (CHD) and unincentivized (CKD)
100
95
90
85
ment rate
80
75
Achievem
Incentivized
70 Unincentivized
65
60
55
50
2000/1 2001/2 2002/3 2003/4 2004/5 2005/6 2006/7
NPCRDC Paying Physicians for Quality
6. Paying for quality The Quality and Outcomes Framework
The United Kingdom Results
The United States
Uplift in achievement
Uplift in achievement
Actual versus expected achievement: Year 1 (2004/5) and Year 3 (2006/7)
35 27 15
= 1 = 7
25 0 6
ent above
ed rate
15
4 2
= 11 = 7
predicte
Achieveme
5 5 11
5
‐5
‐15
Year 1
Year 1 Year 3
Year 3
NPCRDC Paying Physicians for Quality
9. Reform
eo
Past attempts
“Democrats want to create a
Democrats
government-run system for not
providing health care, while
care
Republicans say coverage is best
denied by allowing private insurers to
make it unaffordable for as many
citizens as possible ”
possible.
NPCRDC US Health Care Reform