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October 23/30, 2018

Aligning Patient and Physician Incentives

Author Affiliations
  • 1Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania
  • 2Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia
JAMA. 2018;320(16):1635-1636. doi:10.1001/jama.2018.11245

Since the passage of the Affordable Care Act, there has been an unprecedented pace of testing new payment models to increase health care value. These models have been directed across the continuum of health care professionals and organizations, including physicians, hospitals, and post-acute care facilities. Collectively, these models aim to combine financial incentives for efficient delivery of care, including elimination or substitution of low-value services, while incentivizing improvement on specific quality metrics, such as cancer screening and readmission rate. The use of these detailed payment models is rapidly increasing to cover a greater proportion of health care services.