Health care players are crossing traditional boundaries — and health care providers expect recent combinations to overturn the industry. In light of recent mergers such as CVS-Aetna and Optum-DaVita, we conducted an NEJM Catalyst Buzz Survey, sponsored by BDO, to ask the NEJM Catalyst Insights Council what impact they expect from innovative mergers and potential new entrants. By a large majority, members of the Insights Council, a qualified group of U.S. executives, clinical leaders, and clinicians involved in health care delivery, expect these mergers to disrupt the prevailing order over the next 3 years. They expect the greatest impact from the CVS-Aetna deal (if approved), followed by Amazon entering the fray. (This survey was conducted just before Amazon, JPMorgan Chase, and Berkshire Hathaway said they would form an independent health care company, which sent shock waves throughout health care and the stock market.) Google and Apple are also expected to have a significant disruptive influence, though neither company has specified its plans for the health care industry.
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Primary care must leverage disruptive innovations to ensure that patients receive first-access, comprehensive, coordinated, continuous care that is woven into a seamlessly integrated system.
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Despite potential benefits, joint ventures between nephrologists and dialysis companies raise legal and ethical concerns because of participants’ conflicts of interest and lack of transparency.
In a survey of the NEJM Catalyst Insights Council sponsored by Optum, respondents express enthusiasm for value-based care but have conflicting opinions about just how far along that path they should go.
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Smartly designed patient-centered registries capture longitudinal data to augment EHRs and enhance quality improvement, policy, and research efforts.
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The surgeon has a crucial role in defining value for patients in a population — and not just when that patient is in need of the surgeon’s knife.
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A care and payment model that engages primary care physicians in an aligned model built on trust and value could result in better patient care at lower costs.
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After 3 years of the MSSP, participation in shared-savings contracts by physician groups was associated with savings for Medicare that grew over the study period, whereas hospital-integrated ACOs did not produce savings (on average) during the same period.
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How multidisciplinary team meetings improve cancer care.
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Without more private-sector leadership, U.S. health care will remain stuck in a fee-for-service system for the foreseeable future.