As market and regulatory forces promote health care provider consolidation and new payment models, new challenges are likely to emerge, writes Dr. Scott Gottlieb. By 2014, half of all U.S. physicians are expected to be employed through hospital systems, and as fee-for-service models lose favor, costs will rise and care is likely to become more fragmented, ultimately hurting patients, Gottlieb writes. "This system misses all of the intangible factors that help gauge the quality and efficiency of the care being delivered. It focuses physicians on the wrong goals for promoting health."
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