title: Payment reform alone will not transform health care delivery.
abstract: 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.
authors.affiliation: Federation of American Hospitals, Washington, DC, USA. ckahn@fah.org
authors.forename: Charles N
authors.initials: CN
authors.lastname: Kahn
mesh_terms: D003695:Delivery of Health Care; D017598:Efficiency, Organizational / Q000592:standards*; D018166:Health Care Reform / Q000592:standards*; D006801:Humans; D012051:Reimbursement Mechanisms; D014481:United States