In 2005, the Commonwealth Fund, a highly respected health policy group, commissioned a survey of health care opinion leaders. The leaders identified pay for performance (P4P), the notion that the provision of better care should result in more payment, as the single most promising approach to improving the performance of the US health care system.1 The enthusiasm behind P4P was driven by a simple concept: people and institutions respond to incentives. If incentives are created that promote quality and efficiency, better care should occur. However, the intervening years have not been kind to the advocates of P4P. Since that 2005 survey, the preponderance of the evidence that has emerged suggests that P4P, at least as currently conceived, is not working.2
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 12
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.