So what do you guys propose? I think it is important to distinguish between the general principle of P4P and the methods by which it is implemented. On a philosophical level:

Should doctors be evaluated?

Should doctors' rewards be linked to their performance?

If so, what methods should be used to evaluate performance (e.g. process based or outcome based)?

How should physicians performance be rewarded? Should it be strictly informational or financial. Should performance metrics be made public?