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.
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.
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.
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.
Robert E. Mechanic & Robert Galvin
Without more private-sector leadership, U.S. health care will remain stuck in a fee-for-service system for the foreseeable future.
Case Study by
Marcia Peterson & Sarah Rolph
A state-run center of excellence uses benefit design to improve outcomes while controlling cost.
Poonam L. Alaigh
The integration of primary care and specialty care physicians through adoption of both payment models will lead to synergistic value.
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.