Health care stakeholder interactions often become a “zero-sum” game with one stakeholder’s gain or loss balanced by the gain or loss of other participants, according to Jason Williams, vice president of clinical analytics at the RelayHealth transactions processing unit of McKesson Corp.

In the zero-sum game, aggregate gains and losses are either more or less than zero, Williams explained at Health Data Management’s Healthcare Analytics Symposium. Suppliers and providers drive the costs of quality to funders, such as insurers. Funders, in turn, transfer risk to other stakeholders via pay-for-performance. But now, all stakeholders, including consumers, are heading toward aggregate losses, he contended. “None of these stakeholders are looking at a bright, positive world.”

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