Intelligent Redesign of Health Care

Harvard Business Review

The health care industry has survived economically by cross-subsidizing margin shortfalls in one activity with the revenues generated from others. Specifically, the center wants estimates of: The costs of caring for groups of patients with similar conditions.

How to Design a Bundled Payment Around Value

Harvard Business Review

The traditional fee-for-service reimbursement model is widely acknowledged to be a major driver of escalating health care costs. It also penalizes cost reduction since eliminating unnecessary procedures leads to lower reimbursements. Estimating Costs.