Transformation of the Health Care Industry: Curb Your Enthusiasm?

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Research
Mar 1, 2018
Lawton Burns and Mark Pauly for Milbank Memorial Fund
Policymakers seek to transform the US health care system along two dimensions simultaneously: alternative payment models and new models of provider organization. This transformation is supposed to transfer risk to providers and make them more accountable for health care costs and quality. The transformation in payment and provider organization is neither happening quickly nor shifting risk to providers. The impact on health care cost and quality is also weak or nonexistent.
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