An ongoing initiative by the Obama administration to link Medicare reimbursements to performance got a big endorsement from major insurers Tuesday.

Officials from the Centers for Medicare and Medicaid Services (CMS) and America's Health Insurance Plans, the powerful insurance lobby, announced that they have agreed on seven measures to assess doctors.

While policymakers have been bemoaning the fee-for-service model that they say drives up costs for both public and private health care programs, moving the entire health care system towards an outcome-based model is daunting because of a health care market that is fragmented by state and insurance networks.

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