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.
Healthcare Payment Models
Creative healthcare finance and making use of alternative payment models can lead to innovative healthcare payment solutions that drive value. How does your organization's revenue model stack up?
Article by David Lansky & Jeff Micklos
Care management should be payer-agnostic at its core.
Engineering a Rapid Shift to Value-Based Payment in North Carolina: Goals and Challenges for a Commercial ACO Program
Article by JP Sharp, Patrick H. Conway & Rahul Rajkumar
We believe North Carolina can be a model for the nation.
Article by Nicholas Bagley, Amitabh Chandra, Craig Garthwaite & Ariel D. Stern
Three proposals for improving the law to reflect 21st-century drug development practices.
Article by 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.
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 Adam L. Beckman, Laura Chmar, Travis Broome, Bob Kocher & Farzad Mostashari
A care and payment model that engages primary care physicians in an aligned model built on trust and value could result in better patient care at lower costs.
Article by J. Michael McWilliams, Laura A. Hatfield, Bruce E. Landon, Pasha Hamed & Michael Chernew
After 3 years of the MSSP, participation in shared-savings contracts by physician groups was associated with savings for Medicare that grew over the study period, whereas hospital-integrated ACOs did not produce savings (on average) during the same period.