A very real problem with the pay-for-performance movement:
The AAFP’s Kellerman agrees, noting that “cherry picking and lemon dropping” is a real possibility under a badly designed quality incentive program. And even someone as generally optimistic as David Luehr acknowledges that a system of pay-for-performance that goes too far””that imposes unreasonable goals upon doctors so they’re tempted to avoid the very patients who need them most”””could be very detrimental.”
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