How Will Paying for Performance Affect Patient Care?

TL;DRAbstract

Pay-for-performance programs are now common elements of the payment systems of public and private insurers alike. While pay-for-performance sponsors are most often individual health plans, the programs are being introduced by a variety of purchaser and multistakeholder coalitions in a number of markets. Perhaps most significantly, through a series of demonstration projects and public statements, the Center for Medicare and Medicaid Services (CMS), has made clear its intention to phase in pay-for-performance for physicians, hospitals, and other institutional providers.

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