Center for Improving Value in Health Care
Feb 5, 2013 | 0 comments | Posted by Philip B. Kalin
All Payer Claims Database, CIVHC Partners, Collective Impact, Controlling Costs, Delivery System Redesign, Integrated Care, Payment Reform, Rewarding Value, Triple Aim, Accountable Care Organizations
I’ve been in health care for over 30 years and as I think about most of the problems with healthcare… access, quality, cost, safety, etc., many of the solutions to these issues were obvious even back in those early days of my career. We knew then that fee for service reimbursement created perverse incentives and that outcome based payments aligned incentives for better care and lower costs. In general, care was siloed, inefficient and demanded vertical and horizontal coordination along with tools such as electronic health records (EHR). The problem was that there was no pressure to change unless it was self-generated. Today, many of the same problems exist, but the impetus and external pressures to improve are upon us.
Feb 5, 2013 | 0 comments | Posted by Kristin Paulson
Delivery System Redesign, Integrated Care, Payment Reform, Triple Aim, Coordinated Care
Originally posted on www.wanthealthcarellc.com.
I do a fair amount of work in payment and delivery system reform, in various communities around the country. I have been speaking to physicians about change coming for over a decade. If you have done any of this work, you may have had this common experience: that change is hard, and people have to have a really good reason to change the status quo. I admit it sometimes seemed to me that change would never come.
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