Health Affairs

Health Affairs, 26, no. 6 (2007): 1575-1585 doi: 10.1377/hlthaff.26.6.1575 © 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 2: How Medicare Can Reduce Waste And Improve The Care Of The Chronically Ill

John E. Wennberg, Elliott S. Fisher, Jonathan S. Skinner and Kristen K. Bronner

The care of Americans with severe chronic illnesses is disorganized, unnecessarily costly, and undisciplined by sound clinical science. The federal government should invest in a crash program to improve the scientific basis of managing chronic illness, and the Centers for Medicare and Medicaid Services (CMS) should extend its pay-for-performance (P4P) agenda to ensure that within ten years all Americans with severe chronic illnesses have access to accountable health care organizations providing evidence-based prospective care. This paper recommends a strategy for achieving this goal.

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• John E. Wennberg, Annette M. O’Connor, E. Dale Collins, and James N. Weinstein
  Extending The P4P Agenda, Part 1: How Medicare Can Improve Patient Decision Making And Reduce Unnecessary Care
  Health Affairs, November/December 2007; 26(6): 1564-1574.
  [Abstract] [Full Text] [PDF]
   
  

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