This will surely be a framework for a much larger expansion in the coming years. One point to note – this will surely be an excuse to lower fees in the future:
“Doctors and others who like pay-for-performance have to remember that it’s a zero-sum game.” As a result, he said, most doctors will have to accept lower fees if Medicare is to pay bonuses to the best performers.





![Rediscovering the sacred power of the patient story [PODCAST]](https://kevinmd.com/wp-content/uploads/Design-2-190x100.jpg)


![Rebuilding the backbone of health care [PODCAST]](https://kevinmd.com/wp-content/uploads/Design-3-190x100.jpg)
