50 Wishes for
Medicare’s Future

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Wish #14:
Put beneficiary needs at the center of delivery system and payment reforms

Recent legislation is fundamentally changing the way that Original Medicare pays doctors and other health care providers to deliver care. Over time, the federal government will increasingly pay for high-value care as opposed to high-volume care. As these payment reforms are implemented, the federal government must actively engage, involve, and educate Medicare beneficiaries and consumer advocates. Strong oversight and transparency is also important to protect against discriminatory practices and diminished access to care.