When I read an Italian text (this question is about reading out loud), what I focus on dictates how "well" I read it.
For example, if I focus on pronunciation, then my pronunciation is flawless, but I have absolutely no idea what I'm reading. If I focus on comprehension, my pronunciation goes into the toilet even though I have a significantly better idea of what I'm reading.
What practice techniques help improve the ability of native-level reading (where you read with "perfect" pronunciation / comprehension)?