The U.S. health care system needs CPR.

Rather than letting the health care payment systems of the status quo continue to drain the value out of the care we buy, we need to design and implement systems of payment that signal powerful expectations for better care.

Recent health reform legislation begins to address this for Medicare, and to some extent, Medicaid. Catalyst for Payment Reform will help fill the void in the private sector by promoting solutions.

There are significant challenges that we need to overcome.

While there is significant momentum toward reforming how we pay for health care, several noteworthy challenges exist:

• There is limited coordination among current efforts
• Momentum is moving faster than the evidence
• The lack of a national framework
• No 'one size fits all' solution 

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