Using financial incentives to improve efficiency is not new. The business world routinely uses this. A quotation often attributed to Peter Drucker1 comes to mind: “What’s measured improves.” I prefer to think of this as “people will work faster if you pay them to work faster.” This is an effective strategy for industry. Moving an assembly line faster results in an increased but acceptable rate of defective widgets produced. While throwing more of these away may work for industry, I have reservations about applying this approach to medicine, where there is a zero tolerance for the defects we surgeons know as complications.
Kaminski S. The Need for Speed—Can Quality and Efficiency Coexist?. JAMA Surg. 2014;149(9):925. doi:10.1001/jamasurg.2014.1201