New Marketplace
Are Fraud and Abuse Laws Stifling Value-Based Care?
Article by Carmel Shachar
To realize the true potential of value-based care, we must update the underlying assumptions in our fraud and abuse regulatory system.
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Value Based Care
Reducing health care costs, while improving quality and safety, is the goal. Driving toward value-based care, through value analysis and cost reduction, is today’s challenge. How can we generate value for patients, providers and payers alike?
New Marketplace
What 21st Century Health Care Should Learn from 20th Century Business
Article by Michael E. Porter & Thomas H. Lee
Just as there is no such thing as good marketing or good manufacturing, there is no such thing as good primary care — it completely depends on how that care is tailored to meet the needs of patients with a particular medical condition.
Leadership
Personas of Leadership in Value-Based Care
Article by Robert Pottharst
The deliberate nurturing of specific types of leadership personas seems to be a critical factor in the success of value-based care organizations.
Patient Engagement
Improving Hospitalist Patient Experience Scores: The Importance of Physician-to-Physician Coaching and Medical Director Engagement
Case Study by Ghazala Q. Sharieff
With the Centers for Medicare and Medicaid Services incorporating patient experience into Value-Based Purchasing metrics, hospital leaders must focus on improving this important aspect of patient care.
New Marketplace
Hospital-based ACOs Face Challenges in Tracking Performance Indicators
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.
Care Redesign
Rebuilding Health Care as It Should Be: Personal, Equitable, and Accountable
Interview by Griffin Myers & Thomas H. Lee
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.”
Care Redesign
Endless Forms Most Beautiful: Evolving Toward Higher-Value Care
Article by Caleb Stowell & Ari Robicsek
How Providence St. Joseph Health devised a Value-Oriented Architecture to guide physician practice.
New Marketplace
The State of the Evidence on Payment Reform
Article by 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.
Patient Engagement
Seeing This Patient, not Patients Like This
Talk by Victor Montori
In shared decision-making — where the patient is the boss — understanding a patient’s situation in high definition leads to understanding which aspect of that situation demands action.
New Marketplace
Buzz Survey Report: Cost of Care and Physician Responsibility
Insights Report by NEJM Catalyst & University of Utah Health
An independent NEJM Catalyst report sponsored by University of Utah Health on how practicing clinicians and health care leaders view health care costs.
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