|Leading policy-makers and scholars explain how market forces, deregulation, and consumer choice can work to improve health care for all Americans.||
Paying for Performance
Fisher offers a thoughtful reflection on recent attempts to create "pay for performance" incentives for hospital systems andeventuallyindividual physicians. He also reviews the hurdles that such systems must navigate, including their potential costs (in time and IT) and the potential for perverse incentives (i.e., emphasizing cost containment over quality care).
The past decade has brought compelling evidence of serious gaps in the quality of medical care. The increased availability of reliable measures of the technical quality of care in both hospital and ambulatory settings has proved that it is feasible to measure quality and highlighted a remarkable variability in performance.
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