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This presentation was given by Dr. Paulo Borem, Commercial Director of UNIMED/Belo Horizonte, Brazil at the Joint Learning Workshop: Moving Toward Universal Health Coverage/Incentives for Improving Quality of Care. This workshop was held in Gurgaon, India from February 2-5, 2010. It conveys the design, results, and lessons learned of a successful pay-for-hospital accreditation scheme established by UNIMED, a non-profit insurer. Hospitals are paid higher fees as they achieve “stages” of accreditation as defined by the Brazil’s, National Accreditation Organization.