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The home for VPR's coverage of health and health industry issues affecting the state of Vermont.

If Fee For Service Health Care Is The Past, What's To Replace It In The Future?

If there's one thing most doctors, patients and lawmakers agree on when it comes to health care, it's that the fee-for-service model simply isn’t working. That model has been the standard for many years, but it creates an economic pressure for doctors and hospitals to administer more tests – which don’t necessarily make people any healthier.

But there’s little consensus on just how to set up a medical system that gives people the health care they need, and ensures that doctors and hospitals stay in the black.

Still, that hasn't stopped many health care professionals from trying. And one new approach is toward creating accountable care organizations - where providers are paid based on the quality of care and how well their patients respond.

The University of Vermont Medical Center and Dartmouth-Hitchcock created OneCare Vermont as part of these efforts, and both medical centers are working on improving the model.  

VPR spoke with Dr. Robert Greene, the Executive Vice President and Chief Population Health Management Officer at Dartmouth-Hitchcock. Listen to the interview above. 

A graduate of NYU with a Master's Degree in journalism, Mitch has more than 20 years experience in radio news. He got his start as news director at NYU's college station, and moved on to a news director (and part-time DJ position) for commercial radio station WMVY on Martha's Vineyard. But public radio was where Mitch wanted to be and he eventually moved on to Boston where he worked for six years in a number of different capacities at member station WBUR...as a Senior Producer, Editor, and fill-in co-host of the nationally distributed Here and Now. Mitch has been a guest host of the national NPR sports program "Only A Game". He's also worked as an editor and producer for international news coverage with Monitor Radio in Boston.
Kathleen Masterson as VPR's New England News Collaborative reporter. She covered energy, environment, infrastructure and labor issues for VPR and the collaborative. Kathleen came to Vermont having worked as a producer for NPR’s science desk and as a beat reporter covering agriculture and the environment.
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