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Outcomes-Based Compensation: Pay for Performance Design Principles
Introduction
Why Physician Payment
Must Change
Definition of PFP Assumptions
Design Principles
Payment Structure
- Accountability Level
- Distribution of Incentives
- Financial Incentive Type
- Frequency of Action
Transparency
- Public Disclosure of Method
- Disclosure of Results
Metrics
- Measurement Level
- Metric Attributes
- Metric Domain
- Range of Metrics
Evaluation
Community Participation
- Community-wide Participation
- Patient Participation
Fairness
- Minimizing Unfairness
- Sample Size
Conclusions
Summary of Design Principles
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