Health care costs have historically grown at about 2% faster than income in the United States. One way or another, we have to control health care spending growth, and the onus is on the provider.
Bundled payment models in healthcare can do better to drive value-based solutions for patients, providers, and payers. But how can an organization begin to create bundles that are fair and workable? What are the best strategies and examples for making bundled payments work?
Case Study by John Grady-Benson, Michael Cremins, Elizabeth Olson, Nishwant Swami & Steven Schutzer
The Connecticut Joint Replacement Institute has demonstrated that formerly competing independent providers can unite on a common vision to yield drastic improvements in quality, safety, and costs.
Insights Report by Jon Bees
NEJM Catalyst Insights Council members weigh in on the barriers and path forward to value-based health care.
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.
Article by Patricia D. Franklin, David C. Ayers & Elise Berliner
Smartly designed patient-centered registries capture longitudinal data to augment EHRs and enhance quality improvement, policy, and research efforts.
Article by Alice Murray, Ashish K. Jha & Thomas H. Lee
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.
Article by Samantha Tam, Derek A. Haas, Moran Amit, Michael E. Porter, Randal S. Weber & Ehab Y. Hanna
How multidisciplinary team meetings improve cancer care.
Case Study by Marcia Peterson & Sarah Rolph
A state-run center of excellence uses benefit design to improve outcomes while controlling cost.
Article by Poonam L. Alaigh
The integration of primary care and specialty care physicians through adoption of both payment models will lead to synergistic value.
Case Study by Christiana Beveridge, A. Sofia Warner, Greg Leya & Thomas W. Feeley
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.