Health Affairs November 16, 2020
George C. Halvorson, Stephen M. Shortell, Laurence Kotlikoff, Elizabeth Mitchell, Richard M. Scheffler, John Toussaint, Peter A. Wadsworth, Gail R. Wilensky

The Biden-Harris health care proposal offers a public option plan for the uninsured and for those who prefer it to alternatives for which they are eligible. We strongly support the features and principles of the Biden-Harris public option plan to expand insurance coverage but believe that it should not be based on the traditional fee-for-service payment model. We know from long experience that fee-for-service payment promotes more care, but it does not promote, support, recognize, or reward better care.

The US health system needs a payment approach that promotes, supports, measures, and rewards better care that is continually improving. We need to pay providers, provider networks, and care systems an upfront amount of money to keep people well. We need...

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Topics: ACO (Accountable Care), CMS, Congress / White House, Employer, Govt Agencies, Healthcare System, HHS, Insurance, Medicare, Medicare Advantage, Patient / Consumer, Payer, Payment Models, Provider, Value Based
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