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Previous Volume 356:515-517 February 1, 2007 Number 5 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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It is hard to dispute the rationale behind realigning payment incentives in health care to encourage higher quality and more efficient care. Indeed, across the country and beyond, the number of "pay for performance" programs, as such realignment is called, has reached a tipping point. In the United States, more than half the health maintenance organizations (HMOs) in the private sector have now initiated such programs, covering more than 80% of the country's HMO enrollees.¹ Congress has mandated that the Center for Medicare and Medicaid Services (CMS) develop plans to introduce a pay-for-performance program into Medicare.² The British have gone . . . [Full Text of this Article]

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From the Harvard School of Public Health, Boston.

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