Arnold M. Epstein, MD, MA

Hospitals pursue a broad range of efforts to improve quality, with those participating in bundled payments attempting to reduce postacute care to a greater degree than nonparticipants.

This study finds no evidence of a deleterious impact of pay-for-performance on minority patients in the Premier Hospital Quality Incentive Demonstration.

This survey of 252 HMOs found that almost all measure their performance on multiple indicators of quality and most use these data in quality improvement activities.