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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. But the very existence of these cross-subsidies is symptomatic of deep flaws in the health care reimbursement system. Kaplan and Michael E.

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Health Care Providers Need a Value Management Office

Harvard Business Review

Many health care organizations today are striving to deliver better patient outcomes at lower cost and to be rewarded for accomplishing both. Most have begun this journey with pilot projects to obtain valid measures of outcomes and cost for one or two medical conditions. Leading Change in Health Care.

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Lessons from Mayo Clinic’s Redesign of Stroke Care

Harvard Business Review

Facing escalating costs of medications and technology, health care patients and providers in the United States continue to search for opportunities to reduce overall costs while maintaining and improving health care outcomes. David Pereiras/Getty Images.

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Delivering Higher Value Care Means Spending More Time with Patients

Harvard Business Review

Pressuring physicians to maximize the number of patients they see and minimizing the time they spend with each is one of five counterproductive mistakes that health care providers often make in trying to reduce costs — the subject of a recent article in the Harvard Business Review.

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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. The Motives of the Pilot’s Members. The bundle incorporated the metrics in two ways.

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Getting Bundled Payments Right in Health Care

Harvard Business Review

Their experiences reveal three keys for successful bundling: excellent data on outcomes and costs, proactive management of the patient, and alignment between physicians and hospitals. Data on Outcomes and Costs. whether the patient has diabetes), and psychological or social factors that will impact the post-acute-care recovery.

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Measuring and Communicating Health Care Value with Charts

Harvard Business Review

Some leading proponents of health care reform have argued that the goal of any health care system should be to deliver the most value to patients : the outcomes achieved for treating a medical condition relative to the costs incurred over a complete care cycle.