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October 13, 2015

Value-Based Payments Require Valuing What Matters to Patients

Author Affiliations
  • 1Center for Elder Care and Advanced Illness, Altarum Institute, Ann Arbor, Michigan
  • 2Gillings School of Global Public Health, University of North Carolina at Chapel Hill
  • 3Department of Health Policy and Management, Harvard T. H. Chan School of Public Health, Boston, Massachusetts
JAMA. 2015;314(14):1445-1446. doi:10.1001/jama.2015.8909

Sylvia Burwell, Secretary of Health and Human Services, recently announced the department’s intention to tie most Medicare fee-for-service payments to value by 2018.1 Most commercial insurers already incentivize quality to some degree and encourage beneficiaries to consider quality and cost.2,3 Having payers aim for value should improve health system performance, certainly when compared with traditional incentives for the volume of services, which have failed to deliver the kind of care that is possible.4