Because neonatal medicine is such an expensive contributor to health care in the United States�with a small population of infants accounting for very high health care costs�there has been a fair amount of attention given to this group of patients. An idea that has received increasing attention in this discussion is pay for performance. This article discusses the concept of pay for performance, examines what potential benefits and risks exist in this model, and investigates how it might achieve the desired goals if implemented in a thoughtful way.
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