Escalating costs and the growing imbalance between primary andspecialty care have increased the urgency of calls for fundamentalreform of the health care payment system. At the core of theproblem is the fact that the dominant fee-for-service modelrewards volume and intensity rather than value. But althoughthe faults in the way we currently pay for health care are obvious,it is much less clear what feasible approach would yield betterresults.
Earlier this decade, pay for performance took center stage asa tactic for realigning payment with value. Payers' experiencesduring this period, as well as several . . . [Full Text of this Article]
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Dr. Rosenthal is an associate professor of health economics and policy at the Harvard School of Public Health, Boston.
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