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Previous Volume 350:1910-1912 April 29, 2004 Number 18 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: We suggest two additions to the list of challenges facing the innovative "payment-for-performance" initiatives described by Epstein et al. (Jan. 22 issue).¹ Current payment-for-performance programs focus on underused services such as retinal and foot examinations for patients with diabetes and the administration of statins for patients with cardiovascular disease, because it is politically awkward to pay doctors a bonus for doing less of something (even if less means better care). To address another large category of quality problems — overuse of nonbeneficial services — different models of "paying for high quality" will need to be designed.

Although . . . [Full Text of this Article]

This article has been cited by other articles:

• Epstein, A. M. (2004). Health Care in America -- Still Too Separate, Not Yet Equal. NEJM 351: 603-605 [Full Text]