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And note: saying that investors are willing to pay for performance won't do.
In a statement, Zimmer said its bonus programs were "designed to pay for performance," and that overall compensation strategy was "designed to align the interests of its employees and stockholders".
Ms. Roche said the company, which has offices in 24 states, was to be paid more per client than its lowest bid because the contract was revised to pay for performance.
School districts nationwide have seized on the idea that a key to improving schools is to pay for performance, whether through bonuses for teachers and principals, or rewards like cash prizes for students.
"Harvard is certainly on the cutting edge when it comes to pay for performance," said Brad Alford, a former investment executive for Duke University who now heads Alpha Capital Management, an investment advisory firm.
The late W. Edwards Deming, a guru of quality control, was a particularly vigorous opponent of trying to pay for performance, as Andrea Gabor points out in "The Capitalist Philosophers" (Times Books).
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It was clear that the information from this survey could have financial consequences for physical therapy practices in the future, since health insurance companies are making a shift from paying for quantity to paying for performance.
"Instead of pay-to-play, we'd switch to pay-for-performance".
He reiterated that he had not seen any evidence to support the N.F.L.'s contention that he contributed significant amounts of money to pay-for-performance and bounty pools when he played for the Saints.
"She just can't afford to take that much time off from work," he said, adding with a sigh, "Does that make me a worse doctor?" For a little over a decade, amid calls for improved quality and greater transparency, insurance companies across the country have been "incentivizing quality" — shifting away from traditional fee-for-service reimbursement and turning to pay-for-performance programs.
They dislike the forfait but they are indifferent to pay-for-performance.
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