I agree ,agree, agree with this. If payment incentives drive care – and they do — then this needs to be a cornerstone. But providers need to be supported in the transition and the right information is critical to success. I think that the clarity inherent in capitation and alignment around members/patients, retention of those members and the payment model addresses much of what currently inhibits provider success. Being halfway is being nowhere … and the transition to true value has taken too long and the costs to all parties too great. The success and growth of MA is in part due to the clarity of the payment model (often shared downstream) and incentives. I think that risk adjustment has been poorly implemented but that is a relatively minor complaint given the growth and changes begin driven in that market.