Finally, and most important, health economists point to a shift toward accountable care, in which providers are paid for the quality of care, not the quantity.
In so doing, KALAHI-CIDSS is an exercise of transparent and accountable governance in which local residents are able to use government funds through a participatory process.
And Goldenson believes that accountable care (in which doctors are paid for keeping patients healthy instead of paid fee-for-service) is going to change the face of healthcare.
The new health care law encourages joint ventures, known as accountable care organizations, in which doctors and hospitals take collective responsibility for the care of Medicare beneficiaries.
The exchanges could insist that insurers establish so-called accountable care organizations, in which groups of providers take responsibility for a patient's health for a flat fee.
The emerging healthcare delivery models such as patient-centered medical homes and accountable care organizations, in which emphasis has been placed on primary care, [ 71] may facilitate efforts to reduce the risk of chronic physical conditions.
And that will mean rewarding doctors and hospitals if they band together to form Grand Junction-like accountable-care organizations, in which doctors collaborate to increase prevention and the quality of care, while discouraging overtreatment, undertreatment, and sheer profiteering.
The freshmen senators also want to expand pilot payment projects intended to reward the quality of care patients receive, including the creation of so-called accountable-care organizations in which doctors and hospitals work in closer collaboration to achieve better results for patients.
Afghanistan needs an accountable government, and one in which all groups and regions are fairly represented.
"If real world supervisors were perfectly virtuous, they would make themselves politically and financially accountable for the ways in which they exercise their discretion," he writes.
