Along with many other stakeholders, payers are taking an increasinglyactive interest in the quality of health care. Simple but effectivetherapies related to disease prevention, screening, and hospital-basedmedical care are often substantially underused.1,2,3 As incentives,payers have implemented a wide range of pay-for-performanceprograms that reward physicians (or health plans) financiallyfor high rates of compliance with evidence-based guidelinesfor care (e.g., appropriate use of screening mammography).4In the area of surgery, the wide variation in performance byboth hospitals and surgeons suggests similar opportunities forpayers to encourage improvements in quality.5,6,7,8,9
From the Michigan Surgical Collaborative for Outcomes Research and Evaluation, Department of Surgery, University of Michigan, Ann Arbor.
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