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The Mayo Clinic Model for Running a Value-Improvement Program

Harvard Business Review

In the last six years, a Harvard Business School team has worked with dozens of health care organizations to help them understand the true costs of their treatments for many medical conditions. One of the team’s central findings is that TDABC cannot be delegated to the finance function. Insight Center.

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How Hospitals Are Using Patient-Reported Outcomes to Improve Care

Harvard Business Review

Dr. Niazi’s team has found that inviting patients to report on a standard set of outcomes facilitates the discussion of topics that may be overlooked or are difficult to talk about. The team used PRO data to identify factors associated with suicidal ideation, such as severity of depression or current substance abuse.

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Health Care Providers Need a Value Management Office

Harvard Business Review

ICCI serves as a center of excellence for measuring the outcomes that are most important for patients, significant for clinicians, and suitable for value-based reimbursement contracts. After surgery, these same tools will be used to direct the intensity and duration of rehabilitation needed to attain the functional goals set by the patient.

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How to Design a Bundled Payment Around Value

Harvard Business Review

Physicians , left on the sideline while these new contracts are being forged, are further distanced from the new payment model because they often lack experience in measuring patient outcomes and have little confidence in their costs. The team has been meeting every two weeks over the past four months to design a BP model for a pilot project.

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Getting Bundled Payments Right in Health Care

Harvard Business Review

Both RI and HOI utilize time-driven activity-based costing (TDABC) to measure their costs across a patient’s care cycle. This knowledge helps HOI and RI negotiate or accept bundled payment contracts that cover all their expected costs for care delivery. Proactive Management of Patients.