Overcoming health-care challenges by moving from volume to value

Hill July 17, 2018
Kathleen Sebelius and Tommy Thompson

While we served in different administrations, we faced similar challenges in trying to improve the nation’s health-care system. The basic goal was to improve the quality of the care delivered and moderate the costs.

While there are several key reforms that will help us address this challenge, one idea that nearly all health leaders in the Bush, Obama and Trump administrations agree on is that we need to move as quickly as possible from a fee-for-service, volume-based model to a health system that pays for what happens to the patients — the outcome or value of care.

Under the fee-for-service model, each provider is paid separately for distinct services and no one physician is responsible for the overall cost or...

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