Evidence of innovative uses of performance measures among purchasers.

Purchasers are interested in quality of care and performance information for a number of reasons including helping purchasers to make value-based purchasing decisions, holding health plans and providers accountable, and monitoring the care received by enrollees. Interviews with purchasers were conducted in several geographic areas. Purchasers included in the study were large employers, business coalitions, and governments. Objectives of the study were to determine what performance measurement initiatives large purchasers have established, to explore how large purchasers use the results of their performance measurement initiatives, and to examine how these purchasers interact and share information in their respective markets.