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Editorial
February 2017

Leading on Payment and Delivery Reform in Cardiology

Author Affiliations
  • 1Brigham and Women’s Hospital, Harvard T. H. Chan School of Public Health, Boston, Massachusetts
  • 2VA Eastern Colorado Health Care System, University of Colorado School of Medicine, Denver
JAMA Cardiol. 2017;2(2):121-123. doi:10.1001/jamacardio.2016.4028

Cardiologists are an ambitious and creative group, continually striving to relieve suffering from cardiovascular disease and extend the quality and quantity of life. As a result, cardiology is a field of technological firsts. From the first attempts at thrombolysis in acute myocardial infarction to new catheter-based valve replacement procedures, cardiologists have pushed the boundaries of technological innovation.

This drive to innovate must now turn to the payment system that dictates, in part, how these technological advances will apply to our patients. Physician and health system reimbursement is changing rapidly as payers increasingly move from paying for volume to paying for value. As cardiovascular specialists, we have firsthand knowledge about how our care benefits our patients. So how do we apply this knowledge and innovate to redesign payment models to incentivize higher-value health care for our patients?

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