There are myriad reasons why providers have yet to adopt the risk-based arrangements that add value to care delivery, 2 of the latest claims being a lack of adequate data and quality-measure incentives.

However, statements like these largely reflect resistance. Most have more data than they realize, and they have the capacity to design and develop quality outcome incentives that matter. Like other sources of resistance, these claims represent opportunities for providers to point fingers at someone or something else rather than take an internal look at their own operations against the requirements of a different, better approach.