Yale School of Public Health
New Haven CT
Institutional Affiliation: Yale University
NBER Working Papers and Publications
|October 2014||Estimating the Value Added of Attending Physicians on Patient Outcomes|
with Jason M. Fletcher, Leora I. Horwitz: w20534
Despite increasing calls for value-based payments, existing methodologies for determining physicians' "value added" to patient health outcomes have important limitations. We incorporate methods from the value added literature in education research into a health care setting to present the first value added estimates of health care providers in the literature. Like teacher value added measures that calculate student test score gains, we estimate physician value added based on changes in health status during the course of a hospitalization. We then tie our measures of physician value added to patient outcomes, including length of hospital stay, total charges, health status at discharge, and readmission. The estimated value added varied substantially across physicians and was highly stable f...