Answer
Payment is the amount that providers will be paid for delivering the covered benefit. Cost-sharing is the amount that individuals will pay for their own health care as opposed to what will be paid by someone else (a third party payer).
The way payment and cost-sharing are structured will help create the financial incentives for both the supply side (provider) and the demand side (consumer) side. These financial incentives ("market solutions") must be aligned (or realigned) with what we want the new system to accomplish. Thus, the establishment of payment and cost-sharing parameters must be done in the context of the priorities set for determining the covered benefit.
