Quality, Cost, and Value

​Our goal: Encourage, empower, and enable health care delivery systems to provide truly value-based care that ensures the best health care. We strive to call out and address disparities in health and health care wherever they exist. More >>

In the Spotlight

Quick Reference Guide to Promising Care Models
This guide from The Commonwealth Fund provides an easy-to-read outline of 28 highly promising models in the field of complex care. The guide showcases the outcome, impact, and key features of successful models.

Lack of Robust Data Analysis Impedes Care Improvement Efforts
This Modern Healthcare article describes newly published research with the following finding: While 91 percent of 276 surgical and medical specialists believe that increasing physician access to cost data would improve care, only 40 percent say that their health systems are attempting to provide such data and analysis.

The State of ACOs
This Medical Economics articles provides an overview and discussion of the pros and cons of accountable care organizations (ACOs). Federally regulated, fee-for-service Medicare ACOs are setting the standards for value-based payment structures nationwide, while participation remains voluntary. In the commercial market, large payers have their own versions of accountable care with a variety of benchmarks and reimbursement details.

Medicare’s Role in Reducing Senior Poverty
A recent Centers for Medicare & Medicaid Services (CMS) blog post explores how the agency might better serve disadvantaged seniors, particularly the large percentage who live at or below the federal poverty level, by further developing policies to reduce drug costs and connect individuals with community programs that assist seniors with healthier living outside of medical care settings.

Hospital Care Prices Rose Faster Than the Cost of Physician Services
This article from The Commonwealth Fund presents an overview of key findings of a study, published in Health Affairs, that determined hospital prices grew faster than physician costs between 2007 and 2014, driving most of the growth in payments for inpatient and hospital-based outpatient care.

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