For several years, the Centers for Medicare and Medicaid Services has been shifting its payment incentives away from transactions and towards patient outcomes. Health and Human Services has an office dedicated to building data capacity necessary for doing what it calls patient-centered outcomes research. That office enlisted the National Academy of Science to give H-H-S guidance on building data capacity. Now the report is out. For details, Tom Temin talked with George Isham, the committee chair, and and Senior Fellow at the HealthPartners Institute.