Health Affairs

Health Affairs, 26, no. 6 (2007): 1564-1574 doi: 10.1377/hlthaff.26.6.1564 © 2007 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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Extending P4P

Extending The P4P Agenda, Part 1: How Medicare Can Improve Patient Decision Making And Reduce Unnecessary Care

John E. Wennberg, Annette M. O’Connor, E. Dale Collins and James N. Weinstein

The decision to undergo many discretionary medical treatments should be based on informed patient choice. Shared decision making is an effective strategy for achieving this goal. The Centers for Medicare and Medicaid Services (CMS) should extend its pay-for-performance (P4P) agenda to assure that all Americans have access to a certified shared decision-making process. This paper outlines a strategy to achieve informed patient choice as the standard of practice for preference-sensitive care.

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• John E. Wennberg, Elliott S. Fisher, Jonathan S. Skinner, and Kristen K. Bronner
  Extending The P4P Agenda, Part 2: How Medicare Can Reduce Waste And Improve The Care Of The Chronically Ill
  Health Affairs, November/December 2007; 26(6): 1575-1585.
  [Abstract] [Full Text] [PDF]
   
  

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