Research by Norton et al. suggests quality of care weakened by using price metrics in Medicare service criteria
The notion that improving health care will lower costs is driving changes in public and private service provision. This piece suggests that findings on the link between cost and quality are not definitive. An example cited is a study by Edward C. Norton and colleagues which found that by adding a price metric to its hospital incentive program, Medicare’s Hospital Value-Based Purchasing program compromised its own quality measures and gave bonuses to hospitals that demonstrated low costs but also had low quality.