US. Senator Maria Cantwell joined the panel at Swedish's 100 Health Care Innovation Symposium to discuss The Cost Conundrum: The Case for Payment Reform.

1. Value-Based Payment Modifier (VM) Implementation Timeline 2012 2015 2017 2013 Identify measures of cost and quality Specify initial performance period Implementing the VM through the rule-making process VM applies to select physicians and physician groups VM applies to all physicians and physician groups

2. BEFORE 2015: Fee for Service Rewards Quantity Medicare wastes $120 billion per year (30% of all Medicare spending) unnecessary tests and procedures

3. AFTER 2015: Value Modifier Rewards QUALITY Low Cost.................. High Quality Care..... Outcome-Focused....