Although this new type of payment concept has not yet begun to shift payment to reward value, the feeling is that this will be how healthcare is ultimately packaged, managed, and delivered in our new value-based paradigm.
Mr Grade also introduced the conceptof the Public Value Test which will be formally applied before new services, projects and changes, are given approval.
Furthermore, according to the comments, the enforcement challenge is not new, nor is the conceptof a device or document that can be used to access value.