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	<title>Comments on: More on paying for primary care &#8211; from the Boston Globe</title>
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	<description>Internal medicine, American health care, and especially medical education</description>
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		<title>By: pcb</title>
		<link>http://www.medrants.com/archives/3602/comment-page-1#comment-520785</link>
		<dc:creator>pcb</dc:creator>
		<pubDate>Wed, 04 Jun 2008 22:12:24 +0000</pubDate>
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		<description>DB,

You have been, rightfully so in my opinion, a loud critic regarding current P4P schemes and the perverse effects they have.

With 15-25% of medical home payments to be determined by how well these homes meet certain &quot;benchmarks&quot; (likely similar to those in current P4P plans), this must be a serious concern, right?  

Do you have any plans as someone involved in the process to make sure the medical home model doesn&#039;t magnify the problems with P4P?</description>
		<content:encoded><![CDATA[<p>DB,</p>
<p>You have been, rightfully so in my opinion, a loud critic regarding current P4P schemes and the perverse effects they have.</p>
<p>With 15-25% of medical home payments to be determined by how well these homes meet certain &#8220;benchmarks&#8221; (likely similar to those in current P4P plans), this must be a serious concern, right?  </p>
<p>Do you have any plans as someone involved in the process to make sure the medical home model doesn&#8217;t magnify the problems with P4P?</p>
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