Fraser and Sniegoski Slide 2
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.
- Consumer pathway:
- 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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