Innovation Digest – March 2018 vol. 1

My understanding of healthcare value was formed early, in the context of the misdiagnosis and ultimately futile treatment of aggressive cancers in my parents. I clearly understood that my family did not receive “value-based care”, by anyone’s measure.  After all, nearly thirty years ago, acknowledging patient preferences, discussing treatment options and considering quality of life aspects of care were rarely at the top of the checklist. Today, we have better diagnostic tools, ever-advancing therapies, wider acceptance for social-emotional aspects of treatment and a health system that strives to be patient-centric. And yet, with all this abundance and collaborative engagement, we remain unable to articulate a common vision of value. Some light is shed by this edition’s articles, but the reality is complicated. One thing is clear: we cannot find common understanding using outdated methods.  Transparent and inclusive dialogue, real-world data sources and robust, adaptable assessment tools must be the foundation.

In this issue:

  • We Won’t Get Value-Based Health Care Until We Agree on What “Value” Means
  • Interoperability is biggest barrier to value-based payment adoption, hospital execs say
  • Home Hospital Pilot Lowers Acute Care Episode Costs 52%
  • I have brain cancer. Drug companies and med schools should be compensating me for my expertise
  • Using Community Partnerships to Integrate Health and Social Services for High-Need, High-Cost Patients
  • Medicaid can be key to tackling social determinants of health
  • Preventive Care Saves Money? Sorry, It’s Too Good to Be True
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