According to the Organization for Economic Co-operation and Development, the United States spends a greater percentage of its GDP — 16.4% — on health care than any other OECD country. What this statistic misses is the role that social spending plays in determining health. Social programs that address issues such as poverty, nutrition, substance abuse, and the environment have a dramatic effect on the need for health care spending. This slide shows that when you combine traditional health care spend with social spending, the U.S., far from being profligate, is close to the middle of the pack. Health care arguably serves as a less than efficient surrogate to make up for gaps in social services in many communities across the U.S., distorting the perception of how much this country spends on health care relative to other developed nations.
Article by Samantha F. Sanders, Mats Terwiesch, William J. Gordon & Ariel D. Stern
The development of intelligent machines holds great promise for making health care delivery more accurate, efficient, and accessible, but challenges remain for incorporating AI technology into clinical and administrative settings.
Article by Prakash Jayakumar, Kevin J. Bozic & Thomas H. Lee
The knowledge and preferences that patients could — and should — share with clinicians would restore balance to point-of-care interactions, leading to better outcomes and enhanced value.
Article by Reshma Gupta, Jordan Harmon & Patrick H. Conway
To create meaningful point-of-care guidance so that patients can make informed medical and financial decisions, health system leaders and policymakers can develop interventions to address four major components of a proposed patient affordability scale.
Insights Report by Jon Bees
NEJM Catalyst Insights Council members detail how providers are looking to direct-to-consumer telemedicine and partnerships to meet the differing needs of their patient populations.
Article by Frank Opelka
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.
Insights Report by Ateev Mehrotra & Edward Prewitt
A survey of the NEJM Catalyst Insights Council shows conflicting views about both the value of convenient care and what respondents’ organizations should do.
Article by Ceci Connolly & Connie Hwang
Five best practices that are replicable and scalable are facilitating improved clinical and financial outcomes today.
Article by Teryl Nuckols, Scott Weingarten & Thomas M. Priselac
Academic medical centers must become as dedicated to advancing operational and clinical efficiency as they have been to advancing the science of medicine.
Article by Cathy Schoen, Karen Davis & Amber Willink
A proposal to improve the Medicare benefit package.
Article by Peter J. Pronovost, Craig Samitt, Y. Claire Wang & Vindell Washington
Interoperability is a business imperative for enhancing value in health care, and providers and payers must collaboratively meet the demands for data exchange.