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News & Analysis Author Affiliation: Chief population health officer services. A recent JAMA study added to evi- other states. The CMMI has supported 2 of New York City Health + Hospitals. dence that US exceptionalism in health variations on this concept in Vermont, via an Corresponding Author: Dave A. Chokshi, MD, MSc spending is more the result of high prices all-payer ACO, and in Pennsylvania, focus- (Dave.Chokshi@nychhc.org). than of higher utilization of services. One ap- ing on rural hospitals. Beyond CMMI, addi- Published Online: June 13, 2018, at https: proach to reducing prices in peer high- tionalexperiments,suchasreferencepricing //newsatjama.jama.com/category/the-jama-forum/. income countries such as Switzerland and or using the VA formulary to address pre- Disclaimer: Each entry in The JAMA Forum Germany is all-payer global budgeting. By scriptiondrugspending,arewarrantedtoad- expresses the opinions of the author but does not providing a fixed amount of revenue for dress costs. necessarily reflect the views or opinions of JAMA, the editorial staff, or the American Medical health systems, all-payer global budgeting Ofcourse,governmentalonecannotturn Association. curtails price growth. The most recent flashesofinnovationintoflame.Risingtoour Additional Information: Information about independent evaluation of hospital global health challenges will require reimagined The JAMA Forum, including disclosures of budgeting in Maryland showed a reduction
JAMA – American Medical Association
Published: Aug 7, 2018
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