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Aligning Incentives

Aligning incentives refers to an effort to pay for the actions that provide value (such as good quality care, care coordination, and the like) and thus incentivize medical providers to make decisions toward that aim. Currently, the fee-for-service system incentivizes providers to provide services whether they are beneficial or not.

Withhold

A portion of payments that an insurance company does not pay to health care providers unless that particular provider keeps costs under an agreed upon…