What’s Important: Preparing for the Transition to Value-Based Health Care
In today’s health-care environment, advances in biomedical science have allowed us to achieve unprecedented success in diagnosing and treating human illness. However, we also face enormous challenges. Per capita spending on health care in the United States is substantially more than that of any other developed country and continues to rise, while patient outcomes and the health of the U.S. population do not reflect that higher cost of care. There are many reasons for this. The fee-for-service payment model emphasizes “care” (volume and intensity of services) over “health.” Lack of interoperability and coordination across the health-care system leads to higher costs, increased burdens on patients, and inefficient use of provider time. For example, not a week goes by that I don’t repeat an imaging study or laboratory test that was performed on the same patient within the past week simply because I cannot access the results of the previous test.