The latest wrinkle is "pay-for-performance," an idea that has found favor at the federal level.
The authors doubt that pay-for-performance systems can accurately attribute responsibility for the outcome of care for such patients.
Present pay-for-performance systems measure good performance based on specified clinical measurements, such as glycohemoglobin for diabetic patients.
Here, there is pay-for-performance in a looser sense over a longer time period.
According to recent studies, however, there are key differences in how pay-for-performance models influence federal employees in public service roles.
This will allow the pay-for-performance approach to be field-tested and refined before it is implemented on a wider scale.
The company was the first pay-for-performance online rental site, a business model that outperformed competitors who went with subscriptions, listing fees, or costs-per-lead revenue models.
The first trial run of a pay-for-performance system came in the late 1970s.
