By NextBestFitWeakens incentives for desired behavior
The approach weakens a signal or reward intended to influence behavior. This matters most when the behavior is essential to the policy and less when other motivations or safeguards are sufficient.
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Automatic exemptions and annual collection through taxesCopays keep billing systems alive and still deter poorer patientsChosen
Settling charges later through the annual tax return weakens the price signal compared with charges at the visit.
Salaried clinicians in public or non-profit groupsPaying a fixed amount per patient rewards doing lessRejected
Salary payment may reduce clinician productivity.
Report measures publicly without tying pay to themTargets and quality metrics invite gamingRejected
Removing performance bonuses weakens the incentive associated with the measures.