In an era in which the term patient-centered is ubiquitous in health care, the payment and delivery systems remain stubbornly anything but. Although many proposed reforms aim to align the financial incentives faced by all of the people and institutions in the health care system with the delivery of high-value care, the proposals often do not allow patients to reap much of the reward. Rectifying this situation is the motivation behind inclusive shared savings, as proposed by Schmidt and Emanuel1 in this issue of JAMA Internal Medicine.
Baicker K, Rosenthal M. Shared Savings, Shared Decisions, and Incentives for High-Value Medical Care. JAMA Intern Med. 2014;174(12):2014-2015. doi:10.1001/jamainternmed.2014.2525