Kerman University of Medical Sciences International Journal of Health Policy and Management 2322-5939 2026 09 01 A National Case Study Demonstrates Why Outcomes-Based Payment Systems Fail 4920 EN Alexander J. Gajewski Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX, USA 0000-0001-7662-4336 James L. Gajewski Independent Researcher, Fort Lewis, WA, USA Journal Article 2025 10 02 Health Economics Medicare Merit-Based Incentive Payment System Health Policy https://www.ijhpm.com/article_4920_d1942a3ab01eb59220e2b3a46e7ef09d.pdf