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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To realize the true potential of value-based care, we must update the underlying assumptions in our fraud and abuse regulatory system.
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A focus on bundled payments for specific episodes of care — versus the broad changes required in an ACO model — may be a more effective method for ACO participants to develop capabilities required to measure utilization, cost, and revenue metrics.
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How eConsults unlock medical expertise for the underserved.
Insights Report by Bob Wertz
NEJM Catalyst Insights Council members agree that despite the challenges and caveats, transparency efforts are essential.
Article by Roslyn Murray, Andréa E. Caballero & Suzanne F. Delbanco
Despite some successes among the many efforts to execute value-oriented payment models, the lack of rigorous independent research studies impedes robust progress.
Insights Report by NEJM Catalyst & University of Utah Health
An independent NEJM Catalyst report sponsored by University of Utah Health on how practicing clinicians and health care leaders view health care costs.
Roundtable by Donald M. Berwick, Melinda B. Buntin, Patrick H. Conway, Raymond P. Vara, Jr. & Edward Prewitt
A discussion from the Institute for Healthcare Improvement National Forum. Part 2 of a two-part series.