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Recognizing the shortcomings of a fee-for-service model, healthcare has been trying to move to a model that reimburses value over volume. This was cemented in governmental reimbursement with inclusion of value-based purchasing provisions in the Affordable Care Act and MACRA. These incentivized providers with rewards or punishments based on outcomes. Game Of Thrones In memory of valar morghulis character shirt The outcomes measured, and how they were measured, is largely determined by CMS.

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