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Previous Volume 348:365-367 January 23, 2003 Number 4 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: The strategies presented by Galvin and Milstein (Sept. 19 issue)¹ are relevant to the current national dialogue; however, the authors neglected to consider models in which providers are paid on the basis of performance. Contrary to what the authors suggest, many insurers are effectively improving the quality of heath care, while also achieving economic efficiencies, by gradually introducing innovative models for the reimbursement of providers on the basis of the quality of their output. This approach is so promising that a leading foundation issued a call for proposals for performance-based compensation models.²

After stating that "to date, . . . [Full Text of this Article]

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