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Obama administration sets goals for Medicare’s shift to “value based” payment

BMJ 2015; 350 doi: http://dx.doi.org/10.1136/bmj.h486 (Published 27 January 2015) Cite this as: BMJ 2015;350:h486
  1. Michael McCarthy
  1. 1Seattle

Sylvia Burwell, the US health and human services secretary, announced on 23 January that the Obama administration aims to have 85% of all traditional Medicare fee for service payments tied to at least some quality measures by 2016 and 90% by 2018.

The administration also intends to have 30% of Medicare payments disbursed through alternative payment models, such as accountable care organizations (ACOs) and bundled payment arrangements, by the end of 2016, and it aims to increase that proportion to 50% by the end of 2018. About 20% of Medicare payments are …

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