Even with the much-publicized move toward fee for value proceeds,  ”the financial incentives for hospitals and medical groups to eliminate waste and improve care have barely changed. The announcements last week underscore how little the nation’s healthcare spending is tied to managing quality and cost. ‘There are a lot of areas where it’s basically zero,’ said Dan Steingart, a vice president and senior analyst with Moody’s Investors Service,” told Modern Healthcare.”{M}any experts say that without a faster movement toward penalties as well as bonuses for meeting cost and quality targets, there is little financial incentive for providers to deliver care more efficiently,” the publication said.

”Whatever form the new payment models take, payers and providers have to come up with arrangements that discourage systems from using bonuses merely as a boost to the bottom line.”