The Link between Provider Payment and Quality of Maternal Health Services: A Framework & Literature

This paper explores a growing trend among health care payers to combine a quality measurement initiative with a redesigned provider payment system. It presents a conceptual framework of how provider payment links with quality of maternal health services and analyzes real provider payment systems in low- and middle-income countries where payment is linked with quality measurement. It discusses how provider payment systems have been redesigned to improve quality, how quality is defined and measured, whether provider behavior changed in response to the payment mechanism, and reasons for why the payment mechanism did or did not work to achieve improved quality of maternal health services at the point of care.

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