Want Healthcare for All? Ditch Fee-for-Service, Says Former CMS Chief

"We should move to global budgets as soon as possible," says Donald Berwick

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If the U.S. wants to give everyone access to healthcare, fee-for-service medicine has to go, Donald Berwick, MD, former president of the Institute for Healthcare Improvement, said at a webinar on value-based care sponsored by the Duke Margolis Center for Health Policy.

“We should move to global budgets as soon as possible,” Berwick said at Thursday’s event. “It will not happen in a fee-for-service environment; I just don’t believe it can. And so the more we get to funding organizations to give total care to populations, the better.”

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