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Value Based Care

Reducing health care costs, while improving quality and safety, is the goal. Driving toward value-based care, through value analysis and cost reduction, is today’s challenge. How can we generate value for patients, providers and payers alike?

New Marketplace
New Risk, New Business Models

Changing How We Pay for Primary Care

Primary care accounts for more than half of the United States’ office visits, but direct spending on primary care is only a tiny portion of our nation’s total health cost.

New Marketplace
New Risk, New Business Models

Getting Real about Health Care Costs — A Broader Approach to Cost Stewardship in Medical Education

In the next era of cost-stewardship education, future and current physicians will have to be taught to reduce spending across the care continuum.

Patient Engagement

Health Care — A Final Frontier for Design

Design must move beyond narrow projects and encompass complex systems.

Leadership

My Favorite Slide: The Entrepreneurial Gap Applied to Health Care

When physicians become accountable for results beyond their immediate control, they are forced to become entrepreneurs for better health care.

New Marketplace
New Risk, New Business Models

Medicare Payment for Behavioral Health Integration

Four new codes that went into effect at the start of 2017, to pay clinicians for BHI services they provide to Medicare beneficiaries, are a major step forward.

Victor Montori Talk Still: The Invisible Work of the Patient

Care Redesign
Relentless Reinvention

The Invisible Work of the Patient

Clinicians need to work with patients to understand not only what’s the matter with their biology, but also what matters to their biography.

Care Redesign
Relentless Reinvention

Measures Only Get Better When You Use Them

Optimism, innovation, and how the two go together.

New Marketplace
New Risk, New Business Models

Should Medicare Value-Based Purchasing Take Social Risk into Account?

Strategies for monitoring quality of care for socially at-risk patients and reducing disparities.

New Marketplace
New Risk, New Business Models

How a Tertiary Care Academic Endoscopy Center Used Time-Driven, Activity-Based Costing to Improve Value

Brigham and Women’s Hospital implemented time-driven activity-based costing (TDABC) methodology to better understand the complex non-operating-room setting of the endoscopy center for the purpose of improving resource management and practice care design.

New Marketplace
New Risk, New Business Models

Improve Quality, Control Spending, Maintain Access — Can the Merit-Based Incentive Payment System Deliver?

Under MACRA, the MIPS payment plan grants much discretion to clinicians. The result may be unintended practice responses that require adjustments from CMS.

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