The Mayo Clinic, often cited by the Obama administration as a model for high-quality, cost-effective healthcare, generally supports key provisions of the legislation approved by the Senate, but one Mayo official called for more aggressive steps to change how care in the U.S. is paid for. "The concerns are whether the legislation will be strong enough to change the incentives in the system today, which are mostly around paying for volume" and not for "value" of care, Jeffrey Korsmo, executive director of health policy center at the Mayo Clinic, told the Wall Street Journal.