Pay for Performance and Shared Savings are Good, But They’re Not the Solution

I published this article on KevinMD on 1/9/25, but I want a record of it here as well since this is my central repository for all of my healthcare writing.

So here’s the link:

https://kevinmd.com/2025/01/pay-for-performance-and-shared-savings-are-good-but-theyre-not-the-solution.html

For regular followers of this blog, the principles discussed in that article are not new. But the framing for how I’m putting some of them together is new, so I hope it helps give people a more rounded understanding of the futility of many of CMS’s alternative payment model programs. Their outcomes are just what I predicted in my 2016 article.

It’s amazing how predictive a theory can be when it’s based on an accurate understanding of the principles at play.

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