Healthcare has been moving steadily from fee-for-service to models that reward outcomes and patient experience. Government programs such as MACRA/MIPS and private payer arrangements encourage health systems to manage population health and reduce unnecessary utilization, but a surprising gap remains between value-based reimbursement and the way health systems pay their physicians. A cross-sectional study of 31 physician organizations in four U.S. states found that volume-based

We've explored the demand and supply drivers of healthcare utilization. My next posts will consider how this research can help achieve success in value-based care models. First, we need to consider what defines “value" in healthcare. Why?   According various studies, U.S. healthcare spending is the highest in the world while healthcare outcomes are low, but it’s not all bad news. Oncology innovation shows even greater results. We'll explore thoughts about why in a future post

While the population health pioneers discussed in my previous posts were exploring consumer- driven facets of healthcare utilization...

When we talk about value-based care today, it’s easy to focus on recent policy changes or the latest technology platforms. But the roots...

My transition to a value-based care consulting role prompted me to look over the years I’ve spent in the healthcare field. The models we...