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Category Archives: Payment Reform

The Better Care Plan: a blueprint for improving America’s healthcare system

The United States falls far short of its potential for delivering care that is effective, efficient, safe, timely, patient-centered, and equitable. We put forward the Better Care Plan, an overarching blueprint to address the flaws in our current system. The plan calls for continuously improving care, moving all payers to risk-adjusted prospective payment, and creating […]

Why Haven Healthcare Failed

Haven, the venture to disrupt U.S. health care formed by Amazon, Berkshire Hathaway, and JPMorgan Chase, is disbanding less than three years after its launch. When it was formed, the three companies had a lofty goal: to “provide U.S. employees and their families with simplified, high-quality, and transparent health care at a reasonable cost.” Atul Gawande, the famous author […]

“Better Care Plan”: A Public Option Choice

By: George C. Halvorson, Stephen M. Shortell, Laurence Kotlikoff, Elizabeth Mitchell, Richard M. Scheffler, John Toussaint, Peter A. Wadsworth, Gail R. Wilensky The Biden-Harris health care proposal offers a public option plan for the uninsured and for those who prefer it to alternatives for which they are eligible. We strongly support the features and principles […]

Newsletter: Healthcare Education and Resource Provider Catalysis Joins Lean Certification Alliance

Posted on by CATALYSIS

  What Factors Affect the Successful Implementation of Lean in Healthcare? EDUCATION   EVENTS   STORE   NETWORKS   RESOURCES “We are honored to represent the healthcare industry as an endorser of the Lean Certification program. Aligning and enabling healthcare providers to continuously improve the delivery of life-saving care is our mission and our life,” said Thomas Hartman, executive […]

One Proven Way to Improve U.S. Health Care: Expand Medicare Advantage

In order to transform the healthcare industry, it is imperative that we focus on three interdependent components: care delivery, payment models, and transparency. Payment transformation is a key component of healthcare improvement. The present payment system, which rewards providers for over-utilization, is seriously flawed. The more procedures we do or patients we see, the more […]

Health Care Cost Institute Adds Price and Utilization Research to Healthy Marketplace Index

Posted on by CATALYSIS

New HCCI research examines health care spending and its components—prices and utilization—in 61 metro areas for three common medical services: knee injections, ACL repair, and full knee replacement surgery. The Healthy Marketplace Index measures the economic performance of health care markets across the country. Read here: http://www.healthcostinstitute.org/healthy-marketplace-index/

The Affordable Care Act Has Saved Hospitals More Than $12 Billion in Healthcare Spend – Don’t Repeal It

John Toussaint, MD, Contributor at The Huffington Post CEO of Catalysis, CEO emeritus of ThedaCare President Donald Trump addressed a joint session of the United States Congress on February 28. There, among many other campaign topics, he spoke of the need to repeal and replace the Affordable Care Act also known as Obamacare. On March 6, […]

How Atrius Health Is Making the Shift from Volume to Value

From Harvard Business Review by Ted Toussaint, Karen DaSilva, John S. Toussaint December 13, 2016 Republican control of the White House and Congress won’t change the U.S. health care’s movement away from the traditional fee-for-service system to one that is based on value, paying providers on the basis of the quality of outcomes achieved for the money […]

Improve the Affordable Care Act, Don’t Repeal It

Dr. Toussaint, in this Harvard Business Review article, outlines the important features of the Affordable Care Act and what should be kept. He discusses the root cause of the cost problem in American healthcare and options to deal with it. Finally, there is a call to action to redesign care around the patient, change the […]

ThedaCare Center for Healthcare Value Supports Value‐Based Payment Initiatives

The move from fee-for-service reimbursement in healthcare to value-based reimbursement is no longer “if” – it’s “when” and “how.” The Centers for Medicare and Medicaid Services is leading the way with the support of many other organizations, including the Center, through an initiative called the Health Care Payment Learning and Action Network (HCP-LAN). Download article […]