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The U.S. healthcare system has been criticized for high cost, inefficacy, and issues with quality. P4P is an approach to incentivize physicians and health care provider organizations to achieve improved performance by increasing the quality of care and reducing costs.

In three to five double-spaced pages, address the following:

· Define the challenges in designing a Pay for Performance (P4P) program.

· Discuss the impacts of P4P on provider payment reform.

· Describe the health care providers’ reactions to Value-Based Purchasing Programs.

· Determine the benefits of P4P on patients

Must use at least three scholarly or peer-reviewed sources published in the past 5 years in APA Style.