title: Institute of Medicine recommends new P4P system for Medicare.
abstract: IOM asserts fee-for-service program actually discourages quality improvement. Report claims jury is still out on approach; current research contains conflicting results. Ten design principles recommended for pay for performance and its implementation.
mesh_terms: D006801:Humans; D016345:Medicare Part B / Q000592:standards*; D015969:National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division; D010816:Physician Incentive Plans; D011785:Quality Assurance, Health Care / Q000191:economics*; D012052:Reimbursement, Incentive; D014481:United States