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  Cascadia wrote @ April 26th, 2007 at 1:27 am

People often forget that P4P is already in practice.

The question is not if we want to implemnt P4P but how to fundamentally change what we reward. In one Robert Wood Johnson Study in Washington state where they implemented a chronic disease model of care (case managers, patient centered PHR’s) they saved over $3,000 per patient per year with better outcomes.

One of the largest local clinics opted out of the program as it would cost them money (in lost revenue) to participate. Until we move away from episodic care and start rewarding for preventive and educational care we are only going to be providing the high quality clinicians with some extra money.

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