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July 24/31, 2013

Reenvisioning Specialty Care and Payment Under Global Payment Systems

Author Affiliations
  • 1Department of Health Care Policy, Divisions of General Medicine and Primary Care, Harvard Medical School, Boston, Massachusetts
  • 2Pulmonary, Critical Care, and Sleep Medicine, Beth Israel Deaconess Medical Center, Boston
JAMA. 2013;310(4):371-372. doi:10.1001/jama.2013.75247

Under the current fee-for-service (FFS) payment system, specialists developed practice styles and business models that flourished by maximizing the delivery of highly reimbursed services. Specialists today, however, are likely to be concerned about forthcoming global payment models that are designed to reduce the inexorable increase in health care expenditures by promoting high-value services, eliminating low-value services, and improving care coordination and integration. For many specialists, this new world of global payments is slowly evolving from an amorphous concern to a potential threat to their livelihoods.

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