Highlighting quality driven issues and the power behind pay for performance and value-based benefit designs, this book provides the knowledge to establish performance based structures, such as quality measurement, incentive payment structure, and incentive size, within an existing organization. Focusing on how to implement new designs and how to create strategies to measure performance and improve efficiency, it discusses how to create value and optimize payment and market share, and describes the trade off of systems and IT investments by providers and payers to gain incremental quality improvement.