The conversation about transitioning the American healthcare system from fee for service (FFS) to value-based care (aka, pay for performance) has been going on for more than 15 years. Still, it felt like time travel to come across a Health Affairs book review from 2006 by the late Princeton Professor Uwe Reinhardt that could have been written…
Some believe that an ACO’s leadership structure predicts its success. They point to differing savings results for physician-led versus hospital-led ACO shared savings models (MSSPs) to make their case. In particular, they make the argument that future Value-Based Care (VBC) policies should benefit the growth of successful physician-led ACOs, protecting them from policies that force…
Throughout the Coronavirus pandemic, several innovative data tracking tools have been identified to support population-based public health and individual patient level care management. Some of these are less traditional ways to look at health data, and can usefully inform health planning and system of care design strategies. A curious question is, can we use these…
Evidence-based medicine goes beyond choosing the right clinical pathway, prescribing the right medication, or following procedural standards. Evidence-based decision-making also extends to targeting the right patients at the right time, employing preventive programs, and using diverse clinical teams to serve patient populations. Reviewing Medicare claims data is a valuable first step for accountable care organizations…