Colleen McHorney, PhD, Evidera
Elizabeth Eckstrom, MD, Oregon Health & Science University
Value-Based Health Care and Its Disconnects
Value-based health care aims to staunch the excess of volume and intensity of services that fee for service and many employer-sponsored health plans encourage. But it presents as many questions as answers.
Medicare’s jumped in with both feet. Take a look at our in-depth review of BPCI Advanced, a new bundled payment program that’s expected to be popular even though concerns persist about episodes, risk adjustment, and use of quality data.
How about real-world evidence (RWE)? Not quite ready for prime time because of festering credibility problems.
Mai Pham, MD, Anthem’s vice president of provider alignment solutions, takes the bull by the horns in her riveting interview with Editor Peter Wehrwein. She says that physicians need to accept downside risk.
Our issue looks at the potential and these very real concerns surrounding value-based health care.