Fraser and Sniegoski Slide 3

AHRQ and the Science of Public Reporting

Public Reporting: One Potential Strategy to Improve Quality

• Two Theories of Impact:
  • Consumer pathway:
    • Consumers use information to choose providers.
    • Market shares shift, providers respond.
  • Provider pathway:
    • Providers value their reputations and/or market shares so strive to improve scores.
  • More evidence on second pathway.
  • But science is nascent.
• Transparency also an end in itself.
• Growing comparative reporting by CMS [Centers for Medicare & Medicaid Services], States, communities, others.
• Role grows under the Affordable Care Act (ACA).

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