In 1919, the American Medical Association estimated $3.6 billion was spent in the United States on health care annually, equating to 4 percent of gross domestic product (GDP). In 2014, the total exceeded $3 trillion (an 83,000 percent increase), equating to about 17 percent of GDP. A lot has changed between 1919 and today in health care. Many of these changes involved the manner in which hospitals and physicians are reimbursed for services they provide. That topic is the focus of a new white paper from Merritt Hawkins, the nationâ€™s leading physician search firm and a VHHA preferred vendor. The paper, â€œPhysician and Hospital Reimbursement: From â€˜Lodge Medicineâ€™ to MIPS,â€ tracks health care payments from the age of fee-for-service, through employer-based plans, Medicare and Medicaid, and diagnosis-related groups, to todayâ€™s value-based reimbursement models being promoted and expanded by the Affordable Care Act and MACRA. For a copy of this new resource available to VHHA members, contact firstname.lastname@example.org or 469-524-1446.