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This “roadmap” from the Health Research & Education Trust of the American Hospital Association uses a futurist framework to describe the coming of the “second curve” (phase) for health care organizations, moving from a “first curve” of volume-based, largely fee-for-service payments, to volume-based, outcome-defined payment, revenue, and business models. This roadmap is an organizational self-asessment that hospitals and health systems can use to measure their progress on achieving four priority strategies to reach the second curve.

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