Healthcare payor management practices are associated with health system performance and population health
Bibliographic Data
| ID | 5040887 |
|---|---|
| Authors | Stephen J Dorgan (0000-0002-2664-3106, London School of Hygiene & Tropical Medicine), Timothy Powell-Jackson (0000-0002-6082-3805, London School of Hygiene & Tropical Medicine), Anthony Briggs (0000-0002-0777-1997, London School of Hygiene & Tropical Medicine) |
| Year | 2025 |
| Volume | 368 |
| Pages | 117780 |
| Publication date | 2025-03-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Science & Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2025.117780 |
| PMID | 39923498 |
| OpenAlex | W4406981349 |
| Language | EN |
| References cited | 27 |
Good management practice has long been seen as critical to improving the performance, quality, and efficiency of healthcare systems. Better hospital management practice has been shown to correlate with improved clinical quality and performance. However, the association between the management practices of healthcare payors, the performance of the healthcare systems they oversee, and the health of their managed populations, has not been explored quantitatively. We collected data for all 152 healthcare payors and 53 million residents in England to explore the relationships between payor management practices and the performance of the healthcare system each payor managed. First, we found that better healthcare payor management practices are associated with improved health system performance in the domains of quality and value for money, and with improvements in the overall health and well-being of the managed population. Second, we found better payor management practice is associated with improvements in specific outcome metrics related to healthcare system effectiveness, safety, and value for money. Finally, we found no association between payor management practices and metrics for patient experience and access. These findings provide the first known quantitative evidence of a link between healthcare payor management practice and health system performance. They may also help both governments and payors themselves understand what healthcare system performance improvements might be possible from improving the management practices of healthcare payors
Business · Economic growth · Economics · Environmental health · Health care · Population · Population health · Public health · Healthcare Policy and Management · Medicine · Nursing · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes
Adaptive linear step-up procedures that control the false discovery rate
Multiple Inference and Gender Differences in the Effects of Early Intervention
Hospital Board And Management Practices Are Strongly Related To Hospital Performance On Clinical Quality Metrics
Measuring management practices in primary health care facilities – development and validation of management practices scorecard in Nigeria
Balancing hospital governance
Health governance
The Performance of Intensive Care Units
Best Practices for Developing and Validating Scales for Health, Social, and Behavioral Research
Measuring healthcare payor management practices in England
| Citation velocity | historical |
|---|---|
| Highly cited | No |