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Health Aff (Millwood). 2007 Nov-Dec;26(6):1575-85.

Extending the P4P agenda, part 2: how Medicare can reduce waste and improve the care of the chronically ill.

Author information

  • 1Dartmouth Institute for Health Policy and Clinical Practice, USA. john.e.wennberg@dartmouth.edu

Abstract

The care of Americans with severe chronic illnesses is disorganized, unnecessarily costly, and undisciplined by sound clinical science. The federal government should invest in a crash program to improve the scientific basis of managing chronic illness, and the Centers for Medicare and Medicaid Services (CMS) should extend its pay-for-performance (P4P) agenda to ensure that within ten years all Americans with severe chronic illnesses have access to accountable health care organizations providing evidence-based prospective care. This paper recommends a strategy for achieving this goal.

PMID:
17978378
[PubMed - indexed for MEDLINE]
PMCID:
PMC2213719
Free PMC Article
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