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In Health Affairs, authors Soeters, Peerenboom, Mushagalusa, and Kimanuka report the results of a performance-based payment experiment conducted in the Democratic Republic of Congo, which is one of the poorest countries in the world and has an extremely high level of child and maternal mortality. The experiment found that paying performance-based subsidies to health care providers resulted in comparable or better services and quality of care, supplied at a lower cost, than in control areas that did not use that payment method and also revealed that PBF mechanisms can be effective even in a troubled nation such as the Democratic Republic of Congo.