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Vital Directions from the National Academy of Medicine
October 25, 2016

Competencies and Tools to Shift Payments From Volume to Value

Author Affiliations
  • 1Duke-Robert J. Margolis Center for Health Policy, Duke University, Durham, North Carolina
  • 2Former United States Secretary of Health and Human Services, Washington, DC
  • 3Leavitt Partners, Salt Lake City, Utah
JAMA. 2016;316(16):1655-1656. doi:10.1001/jama.2016.14205

Health reform remains at the forefront of US policy debates because of continued growth in public and private health care spending alongside increasing capabilities of medical care—as well as persistent evidence of inefficiencies and significant variance in utilization, cost, and quality.1 Substantial bipartisan support has emerged for moving from fee-for-service payment due to failure of this payment model to support many innovative approaches to care delivery, and the administrative burdens on clinicians and patients.

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