Pay for Conformance

Dr. Sandeep Jauhar, whose recent article in the New England Journal of Medicine didn’t sit too well with me, published a great article in the New York Times earlier this week on the pitfalls of pay for performance (P4P) schemes, where doctors are given financial incentives to practice cookbook medicine. Stating that “doctors have seldom been rewarded for excellence, at least not in any tangible way”, Dr. Jauhar outlines how P4P measures can actually compromise quality of care.

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