Value of Health Care

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The Value of Health Care

The development of value based healthcare reimbursement systems between healthcare payers and healthcare providers is evolving from the need to provide patients with beneficial healthcare technologies under conditions of significant economic uncertainty. The concept examined centralizes on shifting the focus of the healthcare system from volume to value. Value is measured by outcomes achieved based on a full cycle of care not volume of services rendered based on each service performed.

Summary of Article

The article chosen for this assignment was published on December 23, 2010 in the New England Journal of Medicine (Porter, 2010). The author, Porter (2010) examines the role of value in the healthcare system in the United States. According to Porter (2010) “Value should define the framework for performance improvement in healthcare.” Porter indicates that value in healthcare should be measured by outcomes achieved not the volume of services rendered. According to Porter (2010), “The proper unit for measuring value should encompass all services or activities that jointly determine success in meeting a set of patient’s needs.

Posistive and Negative Affects, Cost, Quality, Access, Trade-offs

The national pay for value based system development has positive and negative aspects. System implementation will require multiple entity participation. Hospitals, physicians, outpatient centers, and clinics all will be responsible for collaboration in developing an integrated communication system which will present additional expense on the front end. Government mandates will be required; from implementation dates to specified circumstances in which assistive funding may be available. Multi provider ...

... middle of paper ...

...g outcomes are important actions towards improving outcomes. True reform will require both moving toward restructuring the care delivery system and a national system of consistency, regulation and payment.

References

Lee, T.H. (2010). Putting the value framework to work. New England Journal of Medicine. 363:2481-2483

Porter, M.E., (2010). What is the value in healthcare? New England Journal of Medicine. 363:2477-2481

Porter, M.E., (2009) A strategy for helath care reform – Toward a value-based system. New England Journal of Medicine. 361:109-112

Carlson, J.J., Sullivan S.D., Garrison, L.P., Neumann, P.J., Veenstra, D.L. (2010). Linking payment to health outcomes: A taxonomy and examination of performance-based reimbursement schemes between healthcare payers and manufacturers. Health Policy, 96(3), 179-190. doi: 10.1016/j.healthpol.2010.02.005

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