Paying for Performance — Risks and Recommendations

Interview with Bruce Weinstein on getting paid for performance. (07:25)Download Fee-for-service payment and a high degree of autonomy have long been defining characteristics of physician practice in the United States. And for the past 40 years, the Medicare program has protected — and largely reinforced — this traditional professional model. But change appears to be imminent.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. Rising costs are . . .