Can providers and payers collaborate to improve on payment models, quality measures, and overall better health care delivery?
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.
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.
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.
What might one of the largest mergers in history mean for the health care delivery system?
NEJM Catalyst Insights Council members say stronger incentives and better use of analytics could improve alignment.
What impact do market exclusivity periods have on the cost of drugs and on incentives for innovation?
Is it always a multiple of years of life saved? And is value-based contracting a reasonable approach to reining in prices?
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.
Are we too concerned about payment reform? Should we let the system play its course, or should we give it subtle nudges?
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.
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.
How health plans can take advantage of their position in the ecosystem to connect motivated consumers with their perfectly matching high-performing provider.
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