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Reform is a Market Issue

Publication Abstract:

Often lost in our national discussion about health reform is the fact that health care delivery is a market. There are buyers and sellers. The federal government is the largest buyer in this market as well as the regulator of the market. What has become clear since the passage of the PPACA is that other purchasers in this market seek similar results as the federal government – but will likely move faster and be more innovative as they seek to buy care based on value not just price. Sellers will discover that the most efficient way to organize for value is to clinically integrate and to take contracts that drive private practice physicians and hospitals to work together to deliver value to the buyers.



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