According to our fourth-annual State of Population Health Survey, progress toward such accountability has stalled. In large part, this is because progress requires providers to choose to put some portion of their revenues at risk, based on their ability to manage cost and quality.

Years of pilot programs by the Department of Health and Human Services with no clear goal in sight have left it to provider organizations to opt into such programs or to stay with the fee-for-service status quo. It’s no surprise the majority have opted for inaction.