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Health Care Providers Need a Value Management Office

Harvard Business Review

While leaders of many care organizations may be fearful that a new centralized staff function would add to corporate overhead and bureaucracy at a time when they are trying to reduce expenses, becoming adept at the delivery of value-based care requires capabilities that provider organizations currently lack.

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The Mayo Clinic Model for Running a Value-Improvement Program

Harvard Business Review

These efforts were part of the providers’ quest to increase the value of their care delivery — in other words, achieve better outcomes at the lowest-possible cost. Unfortunately, fewer than 20% of patients had completed both pre- and post-operative surveys. Record and share learnings.

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Getting Bundled Payments Right in Health Care

Harvard Business Review

But both extend their outcomes measurement far beyond these common measures to include pre- and post-operative patient outcomes specific to the medical conditions they treat (e.g., RI co-developed an outcomes-reporting software tool and is now able to seamlessly integrate this information into each patient’s medical record.

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Case Study: When to Drop an Unprofitable Customer

Harvard Business Review

But he could not shake his newfound awareness of the amount of money Egan was losing with Westmid — the account's ratio of operating income to sales was a negative 28%. The lack of traceability and transparency extended to the costs for specialized equipment that was used only for particular products or customers.

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How to Design a Bundled Payment Around Value

Harvard Business Review

To understand how to address these concerns, an academic team from Harvard Business School brought together a group of orthopedic surgeons from the Boston Shoulder Institute and Harvard Pilgrim Health Care, a Boston-based insurer, to create a new BP model focused on patient value. The bundle incorporated the metrics in two ways.