FierceHealthcare announced today that “President Barack Obama kicked off the Health Care Payment Learning and Action Network, a wide-reaching, public-private collaboration that the administration hopes will speed up the transition to value-based payment models. And while I applaud the effort, I’m not sure the right sources are being tapped for the design.hole digger

If we take a step back to think about how we got into this mess anyway, not much has changed in decades. And in fact, the people being asked to register for the program are often times the same groups that benefit from the convoluted structure in place today.

Don’t get me wrong. I agree with delivering better care at lower costs – that is necessary, efficient and valuable. But when discussions come up about payment structure and incentives – that is where divergence occurs. There aren’t incentives to see patients as people – or to treat them as such. Until that is the case and until it is deemed necessary and valuable to listen to the healthcare team on what patients need – we will be in the same position 1, 2 or 5 years from now.

The incentives to change are weak – and I’m not sure that the new structure or “registration group” provided will be enough to move forward in the positive direction.