Dear Mr. and Ms. Patient,
I regret to inform you that I will be spending less time focusing on your heart problem because I have decided to focus on the heart and medical problems that Medicare deems important to assure I get paid. They call this initiative “Pay for Performance (P4P).” . . .
. . . So, dear patient, I’m sorry if you have pericarditis or heart block. I’m gonna need to focus on my heart attack and heart failure patients a bit more to make sure my office staff can still return your calls.
P4P: Implications for patients
Subscribe to KevinMD and never miss a story!
Get free updates delivered free to your inbox.





![A neurosurgeon's fight with the state medical board [PODCAST]](https://kevinmd.com/wp-content/uploads/Design-1-190x100.jpg)


![How one physician redesigned her practice to find joy in primary care again [PODCAST]](https://kevinmd.com/wp-content/uploads/The-Podcast-by-KevinMD-WideScreen-3000-px-3-190x100.jpg)



![How sleep, nutrition, and exercise restore physician well-being [PODCAST]](https://kevinmd.com/wp-content/uploads/The-Podcast-by-KevinMD-WideScreen-3000-px-4-190x100.jpg)

