Alan Weil of Health Affairs discusses the challenges facing the payment reform movement. Weil questions whether the accountable care movement will achieve savings, pointing to the fact that organizations that do well do not get to keep a very large portion of the savings they create. According to Weil, the movement has been altered by advocates who are more interested in leveling the distribution of healthcare services and achieving equal access to care. On the positive side, Weil notes that efforts at payment reform are making progress toward inculcating value in organizations. Weil would like to see leading organizations have the opportunity to lead before more reform efforts impose a new payer model.
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