There should be a stratified benchmark system, so that no provider is too far away from an attainable goal. This could be accomplished by monitoring performance statistics and creating various targets for provider performance. Within each level of the system, providers will be ranked against peers in order to foster competition and improve performance levels. By not comparing providers in different performance tiers, there will be less discouragement for lower performing providers to continue improving and working towards their target performance level.
Each target could focus on various goals relating to the providers’ needs. Whether that be decreasing costs of services provided by prescribing generics first or using less expensive technologies and tests. This system should be implemented and created by the providers themselves in order to dissuade any influence from the payers.