title: Pay-for-Performance Incentives: Holy Grail or Sippy Cup?
abstract: The health care system is slowly evolving from fee-for-service care to other forms of payment. Pay-for-performance contracts based on quality, patient satisfaction, and utilization are an important development along the continuum. The metrics are not perfect and do not always nudge clinicians to improve their performance, but many outcomes are likely to improve.
authors.affiliation: chief medical officer, Blue Cross and Blue Shield of North Carolina; consulting assistant professor, Duke University School of Medicine, Durham, North Carolina Brian.Caveney@bcbsnc.com.
authors.forename: Brian J
authors.initials: BJ
authors.lastname: Caveney
mesh_terms: D003284:Contract Services; D005544:Forecasting; D018166:Health Care Reform; D006291:Health Policy; D006801:Humans; D009042:Motivation; D009657:North Carolina; D017060:Patient Satisfaction; D011787:Quality of Health Care; D012052:Reimbursement, Incentive