Document Type


Publication Date

December 2007


This report was published as an Issue Brief by The Commonwealth Fund, a private foundation supporting independent research on health and social issues. It is properly cited as:
Goldfarb NI, Maio V, Carter CT, Pizzi L, Nash DB. How does quality enter into health care purchasing decisions? Issue Brief (Commonwealth Fund). 2003 May;(635):1-8, Copyright © 2003 by the authors.


A number of employers, business consortia, and public purchasers are promoting "value-based purchasing" as a way to improve the quality of patient care. Some purchasers are using publicly available information on health plan and provider performance to make their health plan and provider choices, while others are using their market power to drive improvements in patient care and safety. This article examines six key strategies used by purchasers.



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