The Promise and Challenge of Value-Based Payment

Article Information

Corresponding Author: Ezekiel J. Emanuel, MD, PhD, Perelman School of Medicine, Department of Medical Ethics and Health Policy, University of Pennsylvania, 423 Guardian Dr, Blockley Hall, Ste 1412, Philadelphia, PA 19104 ([email protected]).

Published Online: May 20, 2024. doi:10.1001/jamainternmed.2024.1343

Conflict of Interest Disclosures: Dr Shenfeld reported personal fees from Village MD outside the submitted work. Dr Navathe reported grants from the Hawaii Medical Service Association, Commonwealth Fund, Veterans Affairs Administration, Humana, Arnold Ventures, Robert Wood Foundation, United Healthcare, and Donaghue Foundation; personal fees from Naviss Healthcare, Medicare Payment Advisory Commission, Elsevier Press, Analysis Group, Advocate Physician Partners, Catholic Health Service Long Island, Federal Trade Commission, Hawaii Medical Service Association, and The SCAN Group; equity from Clarify Health; and noncompensated board membership for Integrated Services Inc outside the submitted work. Dr Emanuel reported personal fees from Rise Health, The Galien Foundation, Well Sky, Rightway Healthcare, Signature Healthcare Foundation, Healthcare Leaders of New York, MedImpact, Massachusetts Association of Health Plans, Princeton University, Philadelphia Committee on Foreign Relations, Yale University, Hartford Medical Society, Association of Academic Health Centers, Global Innovation Forum, Hawaii Medical Services Association, Queens Health System, Advocate Aurora Health Summit, University of Pittsburgh Medical Center, University of California San Francisco, Advocate Aurora Health, Cain Brothers Conference, Bowdoin College, Ontario Hospital Association, University of Oklahoma, The Quadrangle, Sanford Health, Health Plan Alliance, and Emory Health Care Leaders Retreat outside the submitted work; as well as membership with Notable, Village MD, Colton Center for Autoimmunity at Penn, JSL Health Fund, Peterson Center on Health Care, Clarify Health, Korri AI, Aberdeen Inc, Alto, Link Health Technologies, FeelBetter, Oncology Analytics (until 2022, now OncoHealth), Healthcare Foundry, Biden's Transition COVID-19 Committee, special advisory to the Director General of the World Health Organization (WHO), founding partner of COVID-19 Recovery LLC (until 2021), WHO COVID-19 Ethics & Governance Working Group, founding partner of Embedded LLC (until 2022), venture partner at Oak HC/FT (until 2021), Cellares, and the Health Innovation Exchange sponsored by United Nations Geneva.

Received November 30, 2023

Accepted February 05, 2024