Is Easier Than Meaningfully Improving Medicare The NEJM has just published an article that calls into question the value of Medicare’s 20 year journey with pay-for-performance (P4P) programs. To quote the article: “Returns have been disappointing with only moderate documented improvements in our health outcomes, despite substantial administrative burden and costly demands on clinicians time. We believe the health care system’s overreliance on P4P to drive quality is problematic…all three core...