AI Summary
- Current per diem payment incentivises longer stays and inefficiency; need shift to value-based models that reward outcomes and efficiency.
- Proposed alternatives include bundled episodes, risk-adjusted capitated payments, and quality-linked incentives; require robust risk adjustment and measures to prevent patient selection.
- Successful transition needs aligned stakeholders, data infrastructure, pilot testing, monitoring for access, safety, and unintended consequences to preserve care quality.
JAMA Health Forum. 2026 Jul 2;7(7):e261929. doi: 10.1001/jamahealthforum.2026.1929.
NO ABSTRACT
PMID:42467448 | DOI:10.1001/jamahealthforum.2026.1929
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