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In most of the country and in most of Ohio, we get exactly what we pay for in health care: more volume, more cost, more fragmentation, more variation in treatment and little, if any, accountability for results. Only 10 states have higher per capita costs and poorer overall health than Ohio, according to a recent report of the Health Policy Institute of Ohio.

New ways to pay for health care are getting underway in Ohio, forging the path for greater value. Employers and health plans have begun to pay for results, rather than just for visits, procedures and tests. The state of Ohio – the state’s largest purchaser of health care services – is leading the way.

Ohio’s award in December 2014 of a four-year, $75 million federal grant, launched implementation of the state’s plan to transform health care. The goal is to convert the state’s health care delivery systems to patient-centered coordinated care models and hold providers accountable for quality and cost of care by linking payment to value. The state has used its purchasing power to win commitments from large health insurance companies to implement payment and delivery system changes for their enrollees.