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Critical considerations for condition-based alternative payment models: A multi-stakeholder perspective

from Health Affairs

Critical considerations for condition-based alternative payment models: A multi-stakeholder perspective Health Affairs Reaching the critical mass of participants in alternative payment models (APMs) necessary to move our health care system away from fee-for-service will require a significant increase in specialist participation. Currently, the two most common approaches to payment reform struggle to do this, despite their distinct approaches. Primary care–based models such as accountable care organizations (ACOs) lack clear opportunities for specialist leadership and participation, making it challenging to align financial and clinical incentives or effectively coordinate care. READ MORE

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