RT Journal Article SR Electronic T1 The Burwell roadmap JF Journal of NeuroInterventional Surgery JO J NeuroIntervent Surg FD BMJ Publishing Group Ltd. SP 544 OP 546 DO 10.1136/neurintsurg-2015-011706 VO 8 IS 5 A1 Hirsch, Joshua A A1 Leslie-Mazwi, Thabele M A1 Barr, Robert M A1 McGinty, Geraldine A1 Nicola, Gregory N A1 Patel, Aman B A1 Manchikanti, Laxmaiah YR 2016 UL http://jnis.bmj.com/content/8/5/544.abstract AB In January 2015 the current Secretary of the Department of Health and Human Services (HHS) outlined a bold initiative to shape the delivery of healthcare through a set of strategies aimed at improving the quality of care and reducing the growth of healthcare costs. The strategies include increasing payment incentives tied to higher value care, increasing care coordination and integration, and increasing access to information to guide patients and clinicians. Significantly, the proposal includes specific goals for alternative payment models and value-based payments for the first time in the history of the Medicare program.