Value-based payments are built on the idea that money drives behavior. But have the incentives so far been swift and tangible enough to bring about real change? Paul Levy, former CEO of Beth Israel Deaconess Medical Center, offers a reality check about the promise and pace of payment reform, and offers some real suggestions for driving down healthcare costs.

Decoding Healthcare is a production of athenahealth. For more stories and big ideas about healthcare in America today, go to athenaInsight.com. And follow us on Twitter @athenahealth, @JoannaWeiss and @KevinBanMD. Thanks for listening!