Forbes December 1, 2016
Tomas Philipson

The American healthcare system is at a crossroads. Shifting to a system that reimburses based on value, rather than volume, of care requires changes in how we evaluate healthcare and make spending decisions. Elsewhere in the world, governmental agencies perform health technology assessment and make coverage recommendations based on cost effectiveness and other metrics. Such an approach runs contrary to fundamental elements of American healthcare, however. To successfully move to value-based healthcare in the U.S., distinctly American approaches to measuring value must be developed that meet several key criteria.

In the wake of the recent national elections, it seems increasingly clear that Obamacare is facing a major overhaul – if not a total repeal. This coming debate raises fundamental questions...

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Topics: ACA (Affordable Care Act), ACO (Accountable Care), ASC, CMS, Employer, Health IT, Health System / Hospital, Healthcare System, HHS, MACRA, Medicaid, Medicare, Medicare Advantage, Patient / Consumer, Payer, Physician, Population Health Mgmt, Primary care, Provider, Radiology, RCM (Revenue Cycle Mgmt), Retail care, Self-insured, Specialist care, Urgent care, Value Based
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