This website is designed to help clinicians and educators navigate the complex landscape of pay for performance (P4P). It contains over 300 references with summaries and links where available. It also provides links to local, state, and national resources as well as Powerpoint and online Breeze video presentations on select topics.

     The site is organized by topics of interest, along the left-hand toolbar of your screen, so that users may go directly to a particular item as needed. The website is regularly updated with new topics and references from both Medline referenced sources and the popular press. Soon it will provide a step-by-step P4P learning module to enhance clinicians understanding of this controversial issue.

     This website, like P4P, is a dynamic process. As such, we appreciate your comments, suggestions, and additional references. Please submit comments via the contact us icon above, and your comments will be posted below. 

Latest News:
-New website URL, now with more features, easier to read, and updated research

About the Authors

David J. Satin, MD - Dr. Satin is an internationally known scholar in the fields of bioethics and an assistant professor in the University of Minnesota's Department of Family Medicine and Community Health. He recently completed a five year postdoctoral fellowship at the University of Minnesota's Center for Bioethics, following his family medicine residency at the University of Minnesota, a medical degree from the University of Western Ontario ( Canada ), a Robert Jones Scholarship in philosophy to the University of St. Andrews ( Scotland ), a philosophy degree from the University of Western Ontario and a health sciences degree from Marianopolis College in his home town of Montreal, Canada.

CV, selected publications

Dr. Satin is a member of multiple AMA workgroups designing performance measures for CMS, is a frequent speaker and visiting professor on P4P, and has advised quality improvement programs on many aspects of the P4P literature found on this site. He specializes in leading adaptive change around P4P and quality improvement within clinical organizations. He can be contacted at dsatin@umphysicians.umn.edu


Justin Miles, 3rd Year Medical Student- Justin is a third year medical student at the University of Minnesota. He recieved his bachelors of science in Biochemistry from the University of Minnesota in 2007. He has been a pay-for-performance research assistant in the University of Minnesota's Department of Family Medicine and Community Health for two years. He hopes to pursue a career in psychiatry.


CV, selected publications