Attend any healthcare meeting and you are going to rapidly find that it’s grow to be downright trendy for health care leaders to communicate about their unwavering determination to “value-primarily based care.”
The expression has turn out to be ubiquitous in health care circles. Its virtuousness goes unchallenged.
But really should that be the situation?
Michael E. Porter and Elizabeth Teisberg (with whom I worked as a student and researcher at Harvard Company University from 2006-2010) popularized the price equation (Value = Top quality/Cost) and instructed that enhancing worth must be any healthcare method leader’s greatest purpose.
Given that that time, the federal governing administration has launched a selection of plan instruments to accelerate the changeover to value-centered care which include Medicare Edge, accountable treatment organizations, and bundled payment models.
Numerous new startups have arisen with the intent of bringing price-primarily based treatment to the masses.
And significant box shops this kind of as CVS, Walgreens, and Walmart, as well, have jumped on the worth bandwagon.
The fundamental theory of “value-based mostly care” is easy enough—managing to a decreased price tag of treatment for a population of people, although aiming to improve outcomes.
But what does this benefit-primarily based treatment appear like in apply in the authentic-entire world of affected individual treatment (outside of the industry meeting jargon and academic expositions on the topic)?
I received the thought for this column just after a recent contact with a shut professor pal who has prolonged been a lover of benefit-centered treatment. On our connect with, he expressed dismay at his mother’s treatment in a benefit-based health-related team that was contracted with her Medicare Benefit approach.
On a single situation, his mom was discharged from a hospital sooner than he felt she should have been (she was later on readmitted). On a different celebration, she was denied access to a tertiary most cancers heart, the place he thought she must have long gone for a second opinion. And on a 3rd occasion, she was denied obtain to a expert who my close friend felt could have corrected an before, botched cataract surgical procedure.
As my good friend decried his mother’s care encounter, I could not help but consider that he (and other folks) are in some way failing to connect the dots between