title: Pay-for-performance: the MedPAC perspective.
abstract: 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.
authors.affiliation: Medicare Payment Advisory Commission (MedPAC) in Washington, DC, USA. kmilgate@medpac.gov
authors.forename: Karen
authors.initials: K
authors.lastname: Milgate
authors.forename: Sharon Bee
authors.initials: SB
authors.lastname: Cheng
mesh_terms: D000368:Aged; D006268:Health Facilities / Q000592:standards; D006801:Humans; D006278:Medicare / Q000331:legislation & jurisprudence*; D020406:Medicare Payment Advisory Commission; D011785:Quality Assurance, Health Care / Q000191:economics*; D012052:Reimbursement, Incentive / Q000331:legislation & jurisprudence*; D014481:United States