The latest NEJM Catalyst survey on the new marketplace reveals attitudes about the impact of mergers and acquisitions on health care costs and quality within the local markets of respondents. Overall, the survey shows more positive views than negative among our Insights Council members. Drilling into the data, however, we see that health care executives and clinicians hold very different opinions on the impact of M&A. Nearly a third (31%) of executives say M&A will have a positive effect on both the quality and cost of health care, but only 19% of non-executive physicians agree. Physicians responding to the survey have more negative sentiments on the impact on quality, or they take a wait-and-see approach.
Interview by Robert Galvin & Leemore Dafny
Will Amazon–Berkshire Hathaway–JP Morgan and CVS-Aetna change the health care game? To one health care employer purchaser, these announcements feel a lot like Groundhog Day.
Interview by Fiona Scott Morton & Thomas H. Lee
We have to think about how much we want to spend on health according to how much it’s worth to us at the margin.
What might one of the largest mergers in history mean for the health care delivery system?
Insights Report by Sandra Gittlen
NEJM Catalyst Insights Council members say stronger incentives and better use of analytics could improve alignment.
Article by Gary S. Kaplan & C. Craig Blackmore
Although the transition from fee-for-service to quality-based payment can leave physicians feeling trapped “with a foot in two canoes” while straddling the two payment methods, there are compelling ethical, professional, and business reasons against rationalizing continued support of fee-for-service medicine.
Article by Farzad Mostashari & Travis Broome
Value-based care continues to be the emphasis of federal policymakers, as well as many providers. Aligning Medicare Advantage with ACOs would boost both programs.
Article by Betsy Engle & Joel James
Physician groups are demonstrating their ability to deliver care in new and innovative ways as part of the nationwide effort to transform health care delivery through value-based payment models. The physician experience and perspective is invaluable and should remain an important component of any shift to value-based care.
Health care stakeholders are not aligned in important goals and in large part are not working together to achieve value-based care, according to the NEJM Catalyst Insights Council. They are waiting on government regulators to change the payment model — including, possibly, single-payer health care.
Article by Natacha Lemaire & Sara J. Singer
While some of these smaller organizations are succeeding, they do face numerous challenges, and there is a need for both regulatory change as well as greater sharing of peer-based resources and best practices.