Managed Healthcare Executive February 26, 2021
Though value-based care is a critically important topic today, the question of—and obsession with—healthcare value goes back more than half a century.
When President Lyndon Johnson signed Medicare and Medicaid into law in 1965, he turned the federal government into the country’s largest healthcare payer. As such, the government quickly began trying to ensure its money was well spent. With Medicare and Medicaid costs climbing faster than predicted, the government created Professional Standards Review Organizations in 1972 to review the quality, quantity and cost of care. These organizations evolved over the years and still exist as Quality Improvement Organizations today.
Still, healthcare costs spiraled, as national health expenditures grew from 5.3% of gross national product in 1960 to 9.5%...