Coakley: Global Payments Alone Won't Fix Escalating Health Costs

"A shift to global payments by itself isn't the panacea to controlling costs," she said. "Implementing payment reform without addressing the market leverage issue...is like trying to fix the roof on a house while ignoring a flawed foundation."

Here is a copy of Coakley's keynote speech, delivered Friday at a meeting of the Massachusetts Association of Health Plans.