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Author Affiliations: Division of General Medicine, Department of Internal Medicine, University of Michigan Health System. Ann Arbor.
Corresponding Author: Laurence F. McMahon Jr, MD, MPH, 300 N Ingalls St,
Room 7C27, Ann Arbor, MI 48109-5429 (lmcmahon@umich.edu).
JAMA, February 15, 2012Vol 307, No. 7 671
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VIEWPOINT
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Conclusion
The United States can no longer afford to allow its health
priorities to be set by the vagaries of a payment system disconnected from clinical value. The health care system must
evolve to provide the care that the population needs, supported by a payment system that reinforces this care. A medical market that is focused on physicians and health care organizations and based on providing clinical value to patients
can enhance care and potentially reduce cost. This is the
way forward.
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Conflict of Interest Disclosures: All authors have completed and submitted the
ICMJE Form for Disclosure of Potential Conflicts of Interest. Dr McMahon reported pending institutional grants from the Blue Cross Foundation of Michigan
and the Agency for Healthcare Research and Quality. Dr Chopra reported no conflicts of interest.
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