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Equity theory explains how our sense of fairness influences the dynamics of close relationships. Rooted in social psychology, the theory posits that individuals evaluate fairness by comparing the ratio of their contributions to the rewards they receive. Relationship satisfaction is highest when these ratios are perceived as balanced between partners, promoting mutual reciprocity and a sense of justice.Equity vs. Equality in RelationshipsEquity is distinct from equality. Fairness does not...
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Updated: Mar 24, 2026

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If We Pay for Value, Will We Get It?

Joseph R Antos1

  • 1American Enterprise Institute, Washington, DC.

The Journal of Ambulatory Care Management
|March 6, 2016
PubMed
Summary

Quality measurement systems aim for high-value healthcare. However, aligning payer, provider, and consumer views on healthcare value remains a key challenge for payment reform.

Area of Science:

  • Health Services Research
  • Healthcare Management
  • Health Economics

Background:

  • Quality measurement and performance-based payment systems are key drivers for promoting high-value healthcare.
  • Medicare is transitioning towards population-based outcome measures, moving from traditional process measures.
  • The current fee-for-service model primarily focuses on services rather than patient outcomes.

Purpose of the Study:

  • To explore the emerging challenge of integrating diverse perspectives on healthcare value.
  • To analyze the differing viewpoints of payers, providers, and consumers regarding healthcare value.
  • To identify strategies for aligning these perspectives within payment systems.

Main Methods:

  • Literature review on healthcare quality measurement and payment models.

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  • Analysis of policy shifts in Medicare payment systems.
  • Conceptual framework development for understanding stakeholder perspectives on value.

    • Main Results:

    • Significant divergence exists among payers, providers, and consumers in defining healthcare value.
    • Fee-for-service payment structures often prioritize service delivery over measurable outcomes.
    • Successful implementation of value-based care requires a unified understanding of value.

    Conclusions:

    • Aligning stakeholder perspectives on healthcare value is crucial for effective payment reform.
    • Future healthcare payment systems must better integrate outcome measures and patient-centered value.
    • Addressing the differing perspectives is essential for achieving truly high-value healthcare.