On a 1-5 maturity scale, where is pay for performance, and how can it grow?
Brantes: I think it’s at a 3 1/2. So it’s way past infancy but still maturing. To me the signs of maturity are the fact that more health plans have stopped designing their own mix and are really standardizing around a core set of programs. But old habits are hard to [break.] And at the physician level, you don’t get the practice transformation unless the signal to the doctors is really strong. Otherwise they don’t pay attention. And so we’re still evolving.
