In what is being billed as an important step away from the fee-for-service health care system, the Obama administration announced an outcome-based measure of compensating medical providers for performing hip or knee replacements on Medicare patients. 

The new policy, which will take effect in April, will pay hospitals more for positive outcomes after joint replacements. And the federal government will demand money back in the case of unsatisfactory results, including infections or implant failures. 

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