Patricia Brown of Johns Hopkins Healthcare examines the historical context of the current health reform law, tracing trends and practices back 80 years and identifying the organizational transformations that have occurred along the way. She discusses the shortcomings of the prevailing payment model, arguing that the way in which physicians are currently paid emphasizes volume over value. The new vision of Accountable Care, according to Brown, is where health reform efforts can and should focus in order to improve the healthcare system.
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