Value-Based Care

Viewpoint
Zachary Hafner
It’s funny how certain buzzwords and phrases catch on in health care. We’ve seen HMO come and go, ACO start strong then fade, and population health struggle to become mainstream. Nowadays, it’s all about value-based care. Ask any industry insider what that means, and you’re likely to get a response…
Value-Based Tools
Michael D. Dalzell
The architects of Medical Episode Spending Allowance benefits are radically reframing coverage as allowances for episodes of care and have a plan for engaging members in making better choices.
Value-Based Tools
Michael D. Dalzell
Medicare’s new bundled payments program is expected to be popular, despite unanswered questions about the target prices for the episodes, risk adjustment, and use of quality data. Here’s what we know—and don’t know.
2018 Year in Preview
Michael D. Dalzell
Value-based care can’t be done one slice at a time, new value-based models will take aim at variations in care, the patient may gain a stronger voice, the tail could wag the dog, and value-based care will create haves and have-nots. Some predictability from the federal government would be welcome.
Value-Based Tools
Many of today’s value-based care models trace their roots to the Institute for Healthcare Improvement’s Triple Aim. Arguably, their sustainability may hinge on how true they stay to that trinity of improving population health, the patient experience, and per capita costs.
News & Commentary
Maybe it’s time to tweak bundled payments, say the authors of an opinion piece in JAMA. They believe that they can be even more cost-effective if their durations are lengthened, if some of the bundled services can be performed outside a hospital, and if they can be integrated with ACOs.
Value-Based Tools

Robert Pendleton, MD
University of Utah Health Care

Choosing the right blend of quality metrics for each DRG is one of the many intricacies of Value-Driven Outcomes (VDOs), Utah’s answer to the challenge of how to “do” value-based care. An initiative five years in the making, VDO matches indicators of quality to DRGs with substantial variation in cost within Utah’s own system.

News & Commentary
Researchers at the University of Texas MD Anderson Cancer Center noted that in recent years there has been a marked increase in bilateral mastectomy and reconstruction for early breast cancer. “While some of these procedures are clearly medically indicated, the choice for mastectomy is often driven by nonmedical factors….”
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