What if healthcare really focused on outcomes that matter to patients?  What if payment for services was based on whether someone’s cholesterol level went down, diabetes was under control, they quit smoking, lost ten pounds, returned to work without complications from surgery? What if effectiveness for...

  Someone asked me today why I thought Europe seemed to be showing stronger gains in healthcare on several fronts -- patient centeredness, infection prevention, antimicrobial stewardship, better surgical protocols. Perhaps it is the more centralized payment and regulatory structures in Europe that allow a focus on...