Paying for Performance in Healthcare: Implications for Health System Performance and Accountability

Health spending continues to grow faster than the economy in most OECD countries. In 2010, the OECD published a study of strategies to increase value for money in health care, in which pay for performance (P4P) was identified as an innovative tool to improve health system efficiency in several OECD countries.

However, evidence that P4P increases value for money, boosts quality of processes in healt...