Health Affairs

Health Affairs, 28, no. 2 (2009): w216-w218 (Published online 27 January 2009) doi: 10.1377/hlthaff.28.2.w216 © 2009 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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PERSPECTIVE

Payment Reform Alone Will Not Transform Health Care Delivery

Charles N. Kahn, III

Payment reforms clearly are an important change agent in our efforts to improve the health care delivery system. For broader health care delivery reform to take root and work, however, payment reform cannot be imposed in a vacuum. To maximize the chances of success and minimize the possibility of unintended consequences, the appropriate culture and structure of our health care institutions first must be in place.

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