Understanding Value Based Healthcare

Provide outstanding healthcare while keeping within budget with this comprehensive, engagingly written guide Understanding Value-Based Healthcare is a succinct, interestingly written primer on the core issues involved in maximizing the efficacy and outcomes of medical care when cost is a factor in the decision-making process. Written by internationally recognized experts on cost- and value-based healthcare, this timely book delivers practical and clinically focused guidance on one of the most debated topics in medicine and medicine administration today. Understanding Value-Based Healthcare is divided into three sections: Section 1 Introduction to Value in Healthcare lays the groundwork for understanding this complex topic. Coverage includes the current state of healthcare costs and waste in the USA, the challenges of understanding healthcare pricing, ethics of cost-conscious care, and more. Section 2 Causes of Waste covers important issues such as variation in resource utilization, the role of technology diffusion, lost opportunities to deliver value, and barriers to providing high-value care. Section 3 Solutions and Tools discusses teaching cost awareness and evidence-based medicine, the role of patients, high-value medication prescribing, screening and prevention, incentives, and implementing value-based initiatives. The authors include valuable case studies within each chapter to demonstrate how the material relates to real-world situations faced by clinicians on a daily basis. . The Current State Of Healthcare Costs And Waste In The United States -- Medical Coverage In The United States -- The Challenges Of Understanding Healthcare Pricing -- Defining Value : Connecting Quality And Safety To The Costs Of Care -- A Changing Landscape : Cost Consciousness And Value In Healthcare Delivery -- Ethics Of Cost Conscious Care -- The Importance Of Zip Codes And Genetic Codes : Variation In Resource Utilization -- Stents, Robots, And The Role Of Technology Diffusion -- Primary Care Shortage Crisis : Lost Opportunities To Deliver Value / David Margolius And Andrew Morris-singer -- Barriers To Providing High-value Care / Daisy Smith And Steven Weinberger -- Building A Pipeline For Change : Teaching About Cost Awareness And Evidence-based Medicine -- The Role Of Patients : Shared Decision Making, E-patients, And Consumer Directed Healthcare -- High-value Medication Prescribing -- Screening And Prevention : Balancing Benefits With Harms And Costs -- Shifting Incentives : Moving Reimbursement From Volume To Value -- Implementing Value-based Initiatives : A New Challenge For Clinicians And Healthcare Systems. Editors, Christopher Moriates, Md, Assistant Clinical Professor Of Medicine, University Of California, San Francisco, San Francisco, California, Director Of Implementation Initiatives, Costs Of Care, Inc., Vineet Arora, Md, Mapp, Associate Professor And Director Of Gme Clinical Learning Environment Innovation, University Of Chicago, Chicago, Illinois, Director Of Education Initiatives, Costs Of Care, Inc., Neel Shah, Md, Mpp, Assistant Professor, Harvard Medical School, Cambridge, Massachusetts, Founder And Executive Director, Costs Of Care, Inc. Includes Bibliographical References And Index. Provide outstanding healthcare while learning how to navigate the quickly evolving landscape of healthcare reform with this comprehensive, engagingly written guide.Understanding Value-Based Healthcare is a succinct, interestingly written primer on the core issues involved in maximizing the efficacy and outcomes of medical care when cost is a factor in the decision-making process. Written by internationally recognized experts on value-based healthcare, this timely book delivers practical and clinically focused guidance on one of the most debated topics in medicine and medicine administration today.Understanding Value-Based Healthcare is divided into three sections:Section 1 Introduction to Value in Healthcare lays the groundwork for understanding this complex topic. Coverage includes the current state of healthcare costs and waste in the USA, the challenges of understanding healthcare pricing, ethics of cost-conscious care, and more.Section 2 Causes of Waste covers important issues such as variation in resource utilization, the role of technology diffusion, lost opportunities to deliver value, and barriers to providing high-value care.Section 3 Solutions and Tools discusses teaching cost awareness and evidence-based medicine, the role of patients, high-value medication prescribing, screening and prevention, incentives, and implementing value-based initiatives. The authors include valuable case studies within each chapter to demonstrate how the material relates to real-world situations faced by clinicians on a daily basis Title Page 2 Copyright Page 3 Dedication 5 Table of Contents 7 Guest Authors/Contributors 9 Foreword 12 Foreword 15 Introduction/Preface 18 I Introduction to Value in Healthcare 21 1 The Current State of Healthcare Costs and Waste in the United States 23 2 Paying for Healthcare in the United States 43 3 The Challenges of Understanding Healthcare Pricing 63 4 Defining Value: Connecting Quality and Safety to Costs of Care 85 5 A Changing Landscape: Cost Consciousness and Value in Healthcare Delivery 104 6 Ethics of Cost Conscious Care 119 II Causes of Waste 131 7 The Importance of Zip Codes and Genetic Codes: Variation in Resource Utilization 133 8 Stents, Robots, and the Role of Technology Diffusion 150 9 Primary Care Shortage Crisis: Lost Opportunities to Deliver Value 172 10 Barriers to Providing High-Value Care 191 III Solutions and Tools 206 11 Building A Pipeline of Change: Teaching About Cost Awareness and Evidence-Based Medicine 208 12 The Role of Patients: Shared Decision Making, e-Patients, and Consumer-Directed Healthcare 227 13 High-Value Medication Prescribing 245 14 Screening and Prevention: Balancing Benefits with Harms and Costs 267 15 Shifting Incentives: Moving Reimbursement from Volume to Value 291 16 Implementing Value-Based Initiatives: A New Challenge for Clinicians and Healthcare Systems 313 Glossary 339 Index 347 Acknowledgments 387 This latest entry in the acclaimed Understanding series, is a succinct, interestingly written primer on the core issues involved in maximizing the efficacy and outcomes of medical care when cost is a factor in the decision-making process.