HealthExec February 2, 2023
Despite the emergence of giant health systems taking care of large swaths of patients, scale doesn’t seem to equal higher quality of care or cost savings, according to a recent study published in JAMA Network.
Quality and experience of care received by health system patients were only slightly better than patients not associated with a health system, the study found, and most of the differences appeared to be associated with lower performance in nonsystem small practices. Large practices had roughly similar qualities within and outside of health systems. However, system affiliation was so tightly tied to practice size that there does not seem to be much evidence that system membership itself leads to better performance. That lack of quality evidence...