New Marketplace

Buzz Survey Report: Cost of Care and Physician Responsibility

Insights Report · July 10, 2018

Mark Melrose, DO, is the Chief of Emergency Services at NYC Health + Hospitals’ North Central Bronx Hospital, a New York City safety-net hospital with 232 beds and more than 50,000 annual emergency room visits. Much of the care delivered by the organization is covered by government or commercial payers, and patients are usually unaware of the full cost. Melrose says it would be easy for him to assert that cost shouldn’t be a factor in the value equation and should remain hidden to patients and physicians alike. However, he considers that an irresponsible attitude, one that that winds up squandering the limited resources available in health care today.

The question of cost of care and physician responsibility is the central theme of the first of three NEJM Catalyst Buzz Surveys focused on value in health care. Sponsored by University of Utah Health, the survey was conducted among the NEJM Catalyst Insights Council. Among other findings, the survey results show a disconnect: Physicians feel responsible for the cost of care to a patient, but not accountable for it.

Download the Report

Call for submissions:

Now inviting expert articles, longform articles, and case studies for peer review

Connect

A weekly email newsletter featuring the latest actionable ideas and practical innovations from NEJM Catalyst.

Learn More »

More From New Marketplace
Opelka01_pullquote - ACS IPU team-based surgical care bundles playbook

Developing a Playbook for IPU-based Surgical Care and New Payment Models

The complexity associated with most surgery lends itself to the integrated practice unit structure, with its focus on the care team and value-based payment.

Convenient Care Has Been Good Overall for the Health Care Industry

New Marketplace Survey: Convenient Care — Opportunity, Threat, or Both?

A survey of the NEJM Catalyst Insights Council shows conflicting views about both the value of convenient care and what respondents’ organizations should do.

Payer-Provider Partnerships Produce Better Quality Outcomes 2 - community health plan - physician partnership

New Research Shows How Payer-Provider Partnerships Can Accelerate Adoption of Evidence-Based Care

Five best practices that are replicable and scalable are facilitating improved clinical and financial outcomes today.

30-Day Mortality Rates at Non-Teaching and Major Teaching Hospitals 2013-2014 - value-based care at academic medical centers

What Value-Based Payment Means for Academic Medical Centers

Academic medical centers must become as dedicated to advancing operational and clinical efficiency as they have been to advancing the science of medicine.

Medicare Compared to Private Spending Cumulative Growth 2009-2019 - traditional Medicare coverage

Redesigning Medicare to Work for Everyone

A proposal to improve the Medicare benefit package.

Pronovost04_pullquote payer interoperability data exchange

Promoting Interoperability: Roles for Commercial Payers

Interoperability is a business imperative for enhancing value in health care, and providers and payers must collaboratively meet the demands for data exchange.

Health Care Snapshot - Chinese Health Care and U.S. Health Care

Perspective from the East: Health Care in China

Context is the key to understanding China’s health care system and its emphasis on population health.

GordonWang01_pullquote - digital health care China

Digital Health Care in China: Benefits and Pitfalls

China’s experience offers insights for integrating digital and non-digital health care services.

Dale04_pullquote_disrupting the value-based vs fee-for-service payment model

Disrupting the Payment Model

We should modernize our payment mechanisms to reflect the reality of our digitally enabled lives.

Percentage of Patients Choosing a Reference-Based Pricing Facility for Knee or Hip Replacement Surgery - 2008-2012 - value-based benefit designs

The Evidence for High-Value Benefit Designs

Innovative models are showing promise, but limited transparency and peer-reviewed research hamper expansion.

Connect

A weekly email newsletter featuring the latest actionable ideas and practical innovations from NEJM Catalyst.

Learn More »

Topics

How WeChat Helps Generate Patients’ Trust

It doesn’t matter if you are American or Chinese. Everyone wants good health care. The…

Developing a Playbook for IPU-based Surgical…

The complexity associated with most surgery lends itself to the integrated practice unit structure, with…

How WeChat Helps Generate Patients’ Trust

It doesn’t matter if you are American or Chinese. Everyone wants good health care. The…

Insights Council

Have a voice. Join other health care leaders effecting change, shaping tomorrow.

Apply Now