Health Affairs April 30, 2019
Russ Montgomery, Tom Valuck, Cynthia A. Bens, Andrea Ferris

Personalized medicine, which targets care based on a patient’s genomics, genetics, medical status, personal circumstances, and care preferences, is transforming health care delivery. Meanwhile, value-based payment is also driving sweeping changes by tying payment to quality. However, the traditional approaches to quality measurement and improvement are based on standardization of care, which fundamentally conflicts with the goals of personalized medicine.

Using oncology as an example, in this blog post we outline three tensions that put quality measurement and personalized medicine into conflict and present recommendations for new approaches to quality measurement that better align with the goals of personalized medicine. Recognizing that quality measures are necessary but not sufficient, we also highlight other opportunities to further align quality and...

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