| 2009 - 2.0% | 2012 - 1.0% |
| 2010 - 2.0% | 2013 - 0.5% |
| 2011 - 1.5% | 2014 - 0% |
| 1. | Payments begin in 2009. |
| 2. | Payments will be reduced each year and end in 2013. |
| 3. | Penalties begin in 2014. |
| 4. | This is Medicare program only. There are no analogous Medicaid incentives. |