Health Affairs, 22, no. 6 (2003): 8-10 doi: 10.1377/hlthaff.22.6.8 © 2003 by Project HOPE	New Online   VP Candidates On Health Reform   Cutler On McCain's Plan   Scoring Obama's Plan   Roundtable: Politics, Reform   Number Of Uninsured   Delivery System Overhaul

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Open Letter

Paying For Performance: Medicare Should Lead

We the undersigned are united in our belief that a unique opportunity now exists to address the crisis of quality facing the nation’s health system. The human and financial costs of medical error and substandard care have been exhaustively documented. A robust inventory of measures and standards for quality improvement has been developed and continues to grow. The strategic concept of paying for performance—a bedrock principle in most industries—has begun to emerge in health care in a variety of experiments in both the private and public sectors. But further progress is by no means assured.

Despite a few initial successes, . . . [Full Text of this Article]

Donald M. Berwick

Institute for Healthcare Improvement, Boston, MA

Nancy-Ann DeParle

J.P. Morgan Partners LLC, Washington, DC

David M. Eddy

Aspen, CO

Paul M. Ellwood

Jackson Hole Group, Jackson Hole, WY

Alain C. Enthoven

Stanford University, Stanford, CA

George C. Halvorson

Kaiser Permanente, Oakland, CA

Kenneth W. Kizer

National Quality Forum, Washington, DC

Elizabeth A. McGlynn

RAND, Santa Monica, CA

Uwe E. Reinhardt

Princeton University, Princeton, NJ

Robert D. Reischauer

Urban Institute, Washington, DC

William L. Roper

University of North Carolina, Chapel Hill, NC

John W. Rowe

Aetna, Hartford, CT

Leonard D. Schaeffer

WellPoint Health Networks, Thousand Oaks, CA

John E. Wennberg

Dartmouth Medical School, Dartmouth, NH

Gail R. Wilensky

Project HOPE, Bethesda, MD

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