You don't need a single payer system for this. We have a solution today via quality metrics. There are a number of quality metrics from places such as NCQA. They attach performance in these metrics to payments (or penalties). ACO's are one example.
Interesting. I'm unfamiliar with quality metrics. Do they affect individual doctors? Say this one doctor's patients tend to recover from colds 50% faster or slower than other doctors. Does this affect her practice in any way?
