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7/30/2019 Aligning Incentives and Systems: Value-Based Insurance Design and the Medical Home
1/48
rrr$wjwjj$dou
K`hbdhdbHdjoduhvoz kde
Zxzuonz
Wylnluhdb Zxdoybx Iourood
Vk`o.Ikzoe Hdzykdjo Eozhbd
kde uco Wkuhodu Joduoyoe
Noehjk` Clno
7/30/2019 Aligning Incentives and Systems: Value-Based Insurance Design and the Medical Home
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Kjmdlr`oebnoduz
Uchz rchuo wkwoy rkz eovo`lwoe ix uco Dkuhldk` Izhdozz
Jlk`huhld ld Cok`uc hd jl``kilykuhld rhuc uco Wkuhodu.
Joduoyoe Wyhnkyx Jkyo Jl``kilykuhvoz Joduoy ly
Onw`lxoy Odbkbonodu$
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K$ Nkym Fodeyhjm, NE
Wylozzly, _dhvoyzhux l Nhjchbkd Eowkyunoduz l Hduoydk`
Noehjhdo kde Cok uc Nkdkbonodu & Wl`hjx,
Joduoy ly Vk`o.Ikzoe Hdzykdjo Eozhbd
Iyjo Zcoynkd, NE, FJJW, FKJLON
Jljckhy, WJWJJ Joduoy ly Onw`lxoy Odbkbonodu
Ehyojuly, Cok`uc kde Wylejuhvhux Hdhuhkuhvoz,
Onw`lxoyz Cok`uc Jlk`huhld l LchlJldz`uhdb Noehjk` Ehyojuly,
Bllexoky Uhyo & Yiioy Jl$
Eoddhz Rchuo
Zodhly Vhjo Wyozheodu ly Vk`o.Ikzoe Wyjckzhdb,
Dkuhldk` Izhdozz Jlk`huhld ld Cok uc
Uco kuclyz rl`e hmo ul kjmdlr`oebo kde uckdm
@hqk Byoodioyb, YD, NWC, kde Nkyh Oe`hd ly yozokyjc
kde eovo`lwnodu kzzhzukdjo ld uco rchuo wkwoy kde
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`hzuoe kz jldukjuz hd okjc jkzo zuex$ Ucozo yowyozodukuhvozwkyuhjhwkuoe hd hduoyvhorz kde yovhoroe n`uhw`o eyku
eljnoduz, ly rchjc ro kyo bykuo`$ K dnioy l lucoy
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Ro k`zl kwwyojhkuo uco zwwlyu l uco Wkuhodu.Joduoyoe
Wyhnkyx Jkyo Jl``kilykuhvo Ilkye l Ehyojulyz1
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Alcd Jylzix, AE
Osojuhvo Ehyojuly, Knoyhjkd Lzuolwkuchj Kzzljhkuhld
Wk` Bydex, NE, NWC
Ehyojuly, HIN
Oerhdk Ylboyz
Osojuhvo Ehyojuly, Wkuhodu.Joduoyoe Wyhnkyx
Jkyo Jl``kilykuhvo
Kdeyor Roiioy
Wyozheodu kde JOL, Dkuhldk` Izhdozz Jlk`huhld ld Cok`uc
Jkucx Ikkzo
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Jkyo Hddlvkuhld
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Osojuhvo Vhjo Wyozheodu, Knoyhjkd Kjkeonx
l Fknh`x Wcxzhjhkdz
Alcd Ullmoy, NE, NIK, FKJW
Osojuhvo Vhjo Wyozheodu kde JOL, Knoyhjkd Jl``obo
l Wcxzhjhkdz
Eovo`lwnodu l uco rchuo wkwoy rkz zwwlyuoe ix Wqoy,
Hdj$ Wqoy wylvheoe yozokyjc zwwlyu ly uchz wylaoju$Uco kuclyz royo yozwldzhi o ly uco jldeju l ucoyozokyjc, kdk`xzoz, kde jlduodu l uco nkdzjyhwu$
7/30/2019 Aligning Incentives and Systems: Value-Based Insurance Design and the Medical Home
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K`hbdhdb Hdjoduhvoz kde Zxzuonz p h
Zojuhld ;1 Hduylejuhld $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ ;
Wywlzo l uco Wkwoy $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ ;
Uco Wyli`on1 Bkwz hd Jkyo kde k Zxzuon Ucku Elozdu Wkx ly uco Yhbcu Jkyo $ $ $ $ $ $ $ $ $ $ $ $ ;
Zojuhld 91 Kilu Vk`o.Ikzoe Hdzykdjo Eozhbd $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ :
Izhdozz Jkzo Ykuhldk`o ly VIHE $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 5Nojckdhjz l VIHE $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ ?
Rcku VIHE Nokdz ul Onw`lxoyz $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ ?
Ojldlnhjz l VIHE $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 6
Zojuhld :1 Kilu uco Wkuhodu.Joduoyoe Noehjk` Clno $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 2
Ovheodjo.Ikzoe Ykuhldk`o ly WJNC $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 2
Nojckdhjz l uco WJNC $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 3
Rcku WJNC Nokdz ul Onw`lxoyz $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 3
Ojldlnhjz l uco WJNC $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ ;7
Zojuhld 51 Rcx Onw`lxoyz Zcl`e Jkyo Kilu Iluc WJNC kde VIHE $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ ;9
Vk`o l kd Hduobykuoe Zuykuobx $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ ;9Jyyodu K`hbdnodu l VIHE kde WJNC $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ ;9
Jldzheoykuhldz ly Hnw`onodukuhld $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ ;5
Zojuhld ?1 Dosu Zuowz ly Onw`lxoyz $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ ;6
Yl`o l W`kdz, Zukuoz kde oVk`o3 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ ;6
Zukmocl`eoy Jl``kilykuhld $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ ;2
Dosu Zuowz $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ ;3
Jldj`zhld $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ ;3
Yojlnnodeoe Yokehdb $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ ;8
Kwwodehs1 Onw`lxoy kde W`kd Jkzo Zuehoz $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 99
K`hbdhdb
Hdjoduhvoz kdeZxzuonz
Wylnluhdb Zxdoybx Iourood
Vk`o.Ikzoe Hdzykdjo Eozhbd
kde uco Wkuhodu JoduoyoeNoehjk` Clno
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hh p WJWJJ$DOU
Eok Onw`xo1Kz xl ro ` mdlr, onw`lxoyz kyo eoow`x odnozcoe hd eovo`lwhdb zuykuobhoz ul jlduyl` cok uc jkyo jlzuz kde hnwylvo
cok`uc lujlnoz$ Uco jyyodu odvhyldnodu hz dlu kvlyki`o ul zjjozz$ Noehjk` jkyo hz ykbnoduoe, yo`xhdb ld
lizl`ouo wkwoy.ikzoe nkdkbonodu kde oo.ly.zoyvhjo wkxnoduz ucku yorkye hdojhodjx, kde onw`lxooz kyo bouuhdbcokvhoy kde nlyo zoeodukyx ovod kz nlyo l ucon kbo hdul chbcoy yhzm ly jcyldhj ehzokzo$
Ro io`hovo onw`lxoyz kyo ozzoduhk` ul uydhdb uchz zhukuhld kylde$ Onw`lxoyz nzu ukjm o iluc uco zww`x zheo
#o$b$, zoyvhjoz kde hdjoduhvoz hdfodjhdb wylvheoy iockvhly( kde uco eonkde zheo l cok`uc jkyo, kz ro`` kz uco
cok`uc iockvhlyz ucku hdfodjo onw`lxoo wukmo l wyovoduhvo kde uyokunodu hduoyvoduhldz$ Uchz rchuo wkwoy
osw`lyoz url ull`z onw`lxoyz ckvo zoe rhuc njc zjjozz ul `ovoykbo hnwylvonoduz hd uco cok`uc jkyo zxzuon$
Ucozo kyo uco wkuhodu.joduoyoe noehjk clno #WJNC( kde vk`o.ikzoe hdzykdjo eozhbd #VIHE($
Uco nleo`z kde yozokyjc ovheodjo ly iluc VIHE kde WJNC ckvo iood ``x lu`hdoe hd wyhly wi`hjkuhldz ix uco
wkyudoyhdb lybkdhqkuhldz1 uco Wkuhodu.Joduoyoe Wyhnkyx Jkyo Jl``kilykuhvo, uco _dhvoyzhux l Nhjchbkd VIHE Joduoy
kde uco Dkuhldk` Izhdozz Jlk`huhld ld Cok`uc$ Uco dor o`onodu hd uchz rchuo wkwoy hz k ehzjzzhld l clr uco url
hddlvkuhldz jkd io k`hbdoe ul kbnodu uco hnwkju l okjc$
Blle cok`uc jkyo nokdz ucku onw`lxooz kyo wyozjyhioe ovheodjo.ikzoe uyokunoduz kde iockvhlyk` hduoyvoduhldz
kde ucku iodou hdjoduhvoz kyo k`hbdoe ul yoejo ikyyhoyz ul ovheodjo.ikzoe jkyo$ Hd ovoyx ehzjzzhld l VIHE,
oswoyuz yojlbdhqo ucku uco nleo` jkddlu rlym h onw`lxooz kyo dlu nkeo krkyo l ozzoduhk` ovheodjo.ikzoe
uyokunoduz$ Uchz hz uco yl`o l chbc.{k`hux wyhnkyx jkyo wylvheoyz kde ldo ucku jl`e io ```oe hd k WJNC$
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io oojuhvo d`ozz onw`lxooz kecoyo ul uyokunodu kde l``lr w ld iockvhlyk` yojlnnodekuhldz$ Ucku hz
wyojhzo`x uco yl`o l VIHEul zo hdjoduhvoz ul ehyoju onw`lxooz ul uco WJNC kde ucoyoix ul WJNC.
yojlnnodeoe, ovheodjo.ikzoe uyokunoduz$
Hd zclyu, ro io`hovo ucku uco WJNC kde VIHE bl ckde hd b`lvo hd k`hbdhdb hdjoduhvoz ld uco eo`hvoyx kde eonkde
zheoz ul hnwylvo cok`uc jkyo {k`hux$ Ro odjlykbo onw`lxoyz ul jkyo``x woyzo uchz rchuo wkwoy kde kjjlnwkdx.hdb jkzo zuehoz ul heoduhx hdjyonoduk` ly rcl`ozk`o kwwylkjcoz xl jkd kelwu$ Nokdrch`o, ly lybkdhqkuhldz kyo
jkyo``x uykjmhdb uco yozokyjc kde bylrhdb ovheodjo ikzo ld ucozo url hnwlyukdu zuykuobhoz kde rh`` jlduhdo ul
yowlyu ikjm ul uco onw`lxoy jlnndhux$ Ro `llm lyrkye ul odbkbhdb yucoy hd uchz ehk`lbo rhuc xl$
Kdeyor Roiioy
Wyozheodu kde JOL
Dkuhldk` Izhdozz Jlk`huhld ld Cok`uc
Ilkye Nonioy, Wkuhodu.Joduoyoe Wyhnkyx
Jkyo Jl``kilykuhvo
Oerhdk Ylboyz, AE
Osojuhvo Ehyojuly
Wkuhodu.Joduoyoe Wyhnkyx Jkyo Jl``kilykuhvo
Alcd I$ Jylzix, AE
Osojuhvo Ehyojuly
Knoyhjkd Lzuolwkuchj Kzzljhkuhld
Jckhynkd, Wkuhodu.Joduoyoe Wyhnkyx
Jkyo Jl``kilykuhvo
Wk` Bydex, NE
Ehyojuly l Cok`uc Jkyo Uykdzlynkuhld, HIN
Wyozheodu, Wkuhodu.Joduoyoe WyhnkyxJkyo Jl``kilykuhvo
7/30/2019 Aligning Incentives and Systems: Value-Based Insurance Design and the Medical Home
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hv p WJWJJ$DOU
hd ukdeon$ Fyln kd onw`lxoyz wlhdu l vhor, WJNC kde
VIHE kyo jlnw`onodukyx, zoe ul zhn`ukdolz`x jckdbo
wylvheoy kde wkuhodu iockvhlyz$ Uco WJNC jyokuoz k
zxzuon ly nokdz l cok`uc jkyo eo`hvoyx ucku loyz chbc.
vk`o zoyvhjo$ Ucku vk`o jkd io yok`hqoe ld`x h nonioyz
zo uco noehjk` clno$ VIHE `kxoyz ld hdjoduhvoz ul zuooyhdehvhek`z ul chbc.vk`o wykjuhjoz kde kelwu uyokunodu
kde iockvhly jckdbo yojlnnodekuhldz loyoe ix
wcxzhjhkdz$ Uco liaojuhvoz l VIHE kde WJNC kyo j`oky`x
k`hbdoe ul hnwylvo {k`hux kde jlduhdhux l jkyo, kde
ucox kyo yohdlyjoe ix hdjoduhvoz hdjlywlykuoe hdul
iluc wylbyknz$
Hd keehuhld ul yok`.rly`e osknw`oz, uchz wkwoy keeyozzoz
hdhuhk` zuowz ulrkye osojuhld kde hnw`onodukuhld
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iodouz l k eo`hioykuo k``hkdjo l uco VIHE kde WJNC
kwwylkjcoz$ Uco zxdoybhzuhj kevkdukboz l zww`x. kde
eonkde.zheo hdhuhkuhvozkz lwwlzoe ul ohucoy k`ldo
rh`` hduoyozu onw`lxoyz `llmhdb ul kjchovo nlyo vk`o
yln ucohy cok`uc jkyo el``kyz$
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K`hbdhdb Hdjoduhvoz kde Zxzuonz p ;
Hd uchz rchuo wkwoy ro iyhofx yovhor uco ovheodjo
ikzo deoy`xhdb uco onoybhdb cok`uc jkyo zuykuobhoz
l vk`o.ikzoe hdzykdjo eozhbd #VIHE( kde uco
wkuhodu.joduoyoe noehjk` clno #WJNC($ Ro k`zl
ehzjzz uco wluoduhk` ul k`hbd uco zuykuobhoz ul hdfodjo
iluc uco kvkh`kih`hux kde {k`hux l jkyo eo`hvoyoe ul
wkuhoduz, kde ul hnwylvo dkdjhdb l uco zxzuon hd k rkx
ucku zchuz onw`lxoyz el``kyz ul uco jkyo wyljozzoz kde
uyokunoduz mdlrd ul rlym iozu$
Hd yojodu xokyz wi`hj kde wyhvkuo onw`lxoyz ckvo
oswoyhnoduoe rhuc iodou eozhbd kde wkxnodu zuykuobhoz
ul co`w kjchovo ek` liaojuhvoz l jlduyl``hdb jlzuz kde
hnwylvhdb cok`uc$ Izhdozz cok`uc jlk`huhldz ckvo
w`kxoe k jldvodhdb yl`o ul iyhdb hddlvkuhldz ul ucohy
onw`lxoy nonioyz, kde zukuoz ckvo iood mox hd eovo`lw.
hdb n`uhwkxoy wkxnodu yolyn hdhuhkuhvoz$ Url rheo`x
ehzjzzoe zuykuobhoz kyo VIHE kde uco WJNC$ Iluc
kwwylkjcoz ckvo iood ryhuuod kilu osuodzhvo`x, rhuc
yozokyjc dehdbz zwwlyuhdb uco vk`o l iluc ul
hnwylvo uco oojuhvodozz l cok`uc jkyo kde wluoduhk``x
ul jlduyl` jlzu$ Fly uco nlzu wkyu, uco kwwylkjcoz kyozood kz jlnw`onodukyx, xou ehzuhdju$ VIHE hz k eonkde.
zheo zuykuobx kelwuoe ix onw`lxoyz kde cok`uc w`kdz ul
hdjyokzo wkuhodu kjjozz ul kde zo l zoyvhjoz wylvod ul
hnwylvo cok`uc$ WJNC hz k zww`x.zheo zuykuobx hd rchjc
wcxzhjhkdz kde lucoy wylvheoyz lybkdhqo uconzo`voz
hdul nlyo oojuhvo zxzuonz ul eo`hvoy chbcoy.{k`hux
kde nlyo.ojhodu cok`uc jkyo$ WJNC hz odki`oe ix
wyjckzoyz rh``hdb ul hdvozu hd wyhnkyx jkyo, luod
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Wywlzo l uco Wkwoy
Ro io hovo ucku VIHE kde WJNC jkd io zoe zxdoybhzuhjk``x
ul loy chbc.vk`o iodouz kde odzyo k chbc.{k`hux cok`uc
jkyo odjlduoy$ Uchz rchuo wkwoy iyhofx osknhdoz uco
deoy`xhdb jldjowuz l WJNC kde VIHE kde yovhorz uco
onwhyhjk` ovheodjo zwwlyuhdb ucohy zo$ Hu k`zl osknhdoz
uco jldjowuk` deoywhddhdbz kde wyjckzoy kwwylkjcoz
ul hduobykuhdb ucozo url zuykuobhoz ul kjchovo lwuhnk` cok`uc
lujlnoz kde jlzu.jldukhdnodu blk`z, zhdb jkzo zuehoz
yln wi`hj kde wyhvkuo wyjckzoyz kde cok`uc w`kdz k`ldb
k jlduhdn l kelwuhld$
Ul h``zuykuo ly wlhduz, ro hdj`eo jkzo zuehoz l w`kdz,
onw`lxoyz kde wi`hj wyjckzoyz rcl ckvo ukmod zuowz ul
kelwu WJNC, VIHE ly iluc$ Uco jkzo zuehoz h``zuykuo k
zwojuyn l k`hbdnodu iourood VIHE kde WJNC$ Uco jkzo
zuehoz ykdbo yln HIN, k whldooy yzu hd VIHE kde ucod hd
WJNC, ul k n`uhzukmocl`eoy jl``kilykuhld hd Ikuu`o Jyoom
ucku hz eovo`lwhdb k WJNC wylbykn hd ukdeon rhuc huzVIHE hdhuhkuhvo, ul _dhvoyzk` Knoyhjkd, k Noehjkyo cok`uc
w`kd ucku loyz noehjk` clnoz kde `lr.jlzu kde yoo
wyovoduhvo zoyvhjoz zjc kz jlnwyocodzhvo kddk` ro``dozz
osknhdkuhldz, f zcluz kde bodoyhj eybz ucylbc uco Wkyu
E jlvoykbo bkw #uco w`kd hz wylchihuoe ix yob`kuhld yln
loyhdb kdx keehuhldk` VIHE hdjoduhvoz ucku nhbcu io
jldzuyoe kz vkyhkuhldz hd iodouz($
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zxdoybhoz yoz`uhdb yln jlnihdhdb VIHE kde WJNC
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ucox jkd ukmo ul k`hbd ucohy wyjckzhdb wlroy ul nkshnhqouco jlduyhiuhld l iluc zuykuobhoz ul hnwylvoe cok`uc$
Uco Wyli`on1 Bkwz hd Jkyo kde k Zxzuon UckuElozdu Wkx ly uco Yhbcu Jkyo
Onw`lxoyz ulekx kyo zokyjchdb ly zuykuobhoz ul hdjyokzo uco
vk`o l cok`uc.yo kuoe iodouz kde nhuhbkuo uco jlzuz l
wlly cok`uc kde `lzu wylejuhvhux$ Cok`uc jlzuz jlduhdo ul
yhzo, kde wylejuhvhux zoyz rcod onw`lxooz oswoyhodjo
wlly cok`uc$;
Nkdx oky`x onw`lxoy hdhuhkuhvoz royo ehyojuoe ku jlzu
jlduyl`$ Iodou hddlvkuhldz luod hdvl`voe hdjyokzhdb
iodojhkyx jlzu zckyhdb ucylbc chbcoy wyonhn
jlduyhiuhldz kde eoejuhi`oz kde hdjyokzoe wkuhodu
jlwkxz$ Uco nlzu rheozwyoke osknw`o l uchz ukjuhj hz uco
n`uhuhoyoe lyn`kyx ly wyozjyhwuhld eybz ul ehzjlykbo
zo l chbc.jlzu noehjkuhldz$ Nlyo yojodu`x, jldznoy.
ehyojuoe cok`uc w`kdz #k`zl jk``oe chbc.eoejuhi`o w`kdz(
ckvo hnw`onoduoe yzu.el``ky jldznoy jlzu zckyhdb ly
nlzu noehjk` zoyvhjoz ul hdjyokzo jldznoy krkyodozz l
Zojuhld ; Hduylejuhld
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uco uyo jlzuz l cok`uc jkyo kde co`w jldznoyz zo cok`uc
jkyo yozlyjoz nlyo aehjhlz`x$ Fhbyo ; h``zuykuoz uco
ovl`uhld l wyo jlzu jldukhdnodu kwwylkjcoz ul vk`o.
ikzoe cok`uc jkyo wyjckzhdb zuykuobhoz$
Nlzu yojodu`x, VIHE ckz onoyboe kz k zuykuobx ul zou
jldznoy jlzu zckyhdb ikzoe ld uco j`hdhjk` vk`okde
dlu osj`zhvo`x uco jlzul uco j`hdhjk` zoyvhjo loyhdb$
Uco nluhvkuhld l VIHE hz ucku jyyodu kjylzz.uco.ilkye
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7/30/2019 Aligning Incentives and Systems: Value-Based Insurance Design and the Medical Home
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7/30/2019 Aligning Incentives and Systems: Value-Based Insurance Design and the Medical Home
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7/30/2019 Aligning Incentives and Systems: Value-Based Insurance Design and the Medical Home
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7/30/2019 Aligning Incentives and Systems: Value-Based Insurance Design and the Medical Home
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7/30/2019 Aligning Incentives and Systems: Value-Based Insurance Design and the Medical Home
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