Health Affairs

Health Affairs, 25, no. 2 (2006): 413-419 doi: 10.1377/hlthaff.25.2.413 © 2006 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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Commentary

Pay-For-Performance: The MedPAC Perspective

Karen Milgate and Sharon Bee Cheng

Medicare payment systems are neutral and sometimes negative toward quality of care. The Medicare Payment Advisory Commission (MedPAC) has recommended that Congress build incentives for quality into Medicare’s payment systems for hospitals, physicians, home health agencies, facilities that treat dialysis patients, and Medicare Advantage plans. In this Commentary we describe the rationale for the recommendations, criteria for determining which settings are ready, program design principles, and potential measures.

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