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Explicitly or Implicitly Rewarding Quality Improvement
- P4P programs that reward top group (e.g., 20%) or set a benchmark for reward that all must meet do not uniformly encourage improvement
- These features should result in more QI:
- Rewarding improvement explicitly (i.e. change rather than/in addition to level)
- Multiple levels of rewards (partial credit)
- Payments tied to each patient treated well
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