Opinion: Orszag on healthcare goal
Focusing on providers is key because healthcare expenses are so concentrated: High-cost cases account for the vast majority of the total. In those cases, the care provided is, as it should be, mainly the services and tests recommended by the provider. So if you do not influence provider recommendations in those cases, you cannot do all that much to improve the system. The evidence suggests, furthermore, that shifting away from paying for quantity and toward paying for quality affects what providers do in those high-cost cases. Although other quality- improvement measures can also influence provider behavior, the payment system is arguably the single most important determinant.
- How Top-Ranked MA Plans Earn Their Stars
- WellPoint Dominates Nearly Half of Markets, AMA Says
- CMS Offers Some ACOs $114M for 'Upfront' Costs
- Ebola: Second TX Nurse Diagnosed After Improper Protective Gear Application
- How Hospitals Can Become 'Upstreamists'
- Providers Ask HHS to Address EHR Interoperability Barriers
- 16 Medicare Advantage Plans Earn 5-Star Ratings
- The Drug Price Reform Debate
- CMS' new investment model will help ACOs with health IT
- Ebola: A Call for Designated Hospitals