Pay for performance, or pass it up?

Most people agree reimbursement that rewards volume has fueled overuse and high costs for U.S. healthcare. But few agree on the best replacement. François de Brantes, executive director of the Health Care Incentives Improvement Institute, made a case for pay-for-performance incentives recently in the Wall Street Journal. Steffie Woolhandler, MD, MPH, of the City University of New York School of Public Health, shared why she thinks it is a bad idea.

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