Health Affairs July 30, 2020
Ayesha D’Avena, Shantanu Agrawal, Kenneth Kizer

Editor’s Note:

Shantanu Agrawal and Ken Kizer will discuss the ideas presented in this post at the Health Affairs event, “The Care We Need: NQF and 20 Years of Quality,” at 2:00 PM ET today.

Health care in the United States costs too much and delivers too little. The Commonwealth Fund ranks the U.S. health care system last among western developed countries in overall performance, access, administrative efficiency, equity, and outcomes. The U.S. spends nearly twice as much on health care as other high-income countries without comparable outcomes.

Despite significant policy efforts and investments in the past two decades, notable shortcomings in the health care system persist. Health equity concerns continue to grow, and care is increasingly fragmented and insufficiently person-centered. Although notable progress has been made towards ensuring...