Dana P. Goldman, Karen Van Nuys, Wei-Han Cheng, Jakub P. Hlávka, Luca Pani, Sylvain Chassang & Erik Snowberg
Are we paying too much for new drugs before we know how well they work? This innovative pricing model proposes postponing major rewards until efficacy is established — which could help both patients and payers while still paying back investments on the most effective drugs.
Three components for treating the unhealthy, uncompetitive U.S. health care market — beginning with a buyer’s revolt.
NEJM Catalyst Insights Council members weigh in on the barriers and path forward to value-based health care.
Hoangmai Pham & Paul B. Ginsburg
To truly redesign a system, one has to take a holistic approach and move multiple levers in concert, rather than fiddling with individual factors serially and hoping for a coordinated effect.
It should be no surprise that simpler, cheaper, and more convenient care arises from safety-net providers.
John D. Birkmeyer
A perspective on the growth of NPPs and the ideological divide between for-profit and nonprofit providers.
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.
How Oak Street Health, a full-risk, value-based primary care model and social determinants practice, embeds itself in the community to keep its elderly population, “happy, healthy, and out of the hospital.”
Caleb Stowell & Ari Robicsek
How Providence St. Joseph Health devised a Value-Oriented Architecture to guide physician practice.
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.