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June 2006

Pay for PerformanceA Reimbursement Shift

Arch Ophthalmol. 2006;124(6):905-906. doi:10.1001/archopht.124.6.905

Last year, the US Congress introduced a bill that would implement the concept of pay for performance as a method to induce physicians to do the “right” thing for their patients. It stems partially from the Institute of Medicine's reports1,2 on the safety and quality of health care delivered in this country. These reports identified large gaps between the care people receive and the care they should receive, as well as great variability in the delivery of care across the country. If we accept the belief that physicians, like others, respond to financial incentives, then reimbursement principles and mechanism could change physician behavior.

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