Redefining Health Care: Creating Value-Based Competition on Results 1st Edition
Michael E. Porter and Elizabeth Olmsted Teisberg | Harvard Business Review Press | April 24, 2006
The U.S. health care system is in crisis. At stake are the quality of care for millions of Americans and the financial well-being of individuals and employers squeezed by skyrocketing premiums not to mention the stability of state and federal government budgets.
In Redefining Health Care, internationally renowned strategy expert Michael Porter and innovation expert Elizabeth Teisberg reveal the underlying and largely overlooked causes of the problem, and provide a powerful prescription for change.
The authors argue that competition currently takes place at the wrong level among health plans, networks, and hospitals rather than where it matters most, in the diagnosis, treatment, and prevention of specific health conditions. Participants in the system accumulate bargaining power and shift costs in a zero-sum competition, rather than creating value for patients. Based on an exhaustive study of the U.S. health care system, Redefining Health Care lays out a breakthrough framework for redefining the way competition in health care delivery takes place and unleashing stunning improvements in quality and efficiency.
With specific recommendations for hospitals, doctors, health plans, employers, and policy makers, this book shows how to move health care toward positive-sum competition that delivers lasting benefits for all.
AMCP Partnership Forum: Patient input and payer decision-making
Journal of Managed Care & Specialty Pharmacy | October 29, 2024
It is important to consider patients in health care decision-making. To help payers partner with patient representatives to do this in managed care pharmacy, the AMCP gathered experts for input. Some of the main ideas from their discussion were to use successful examples and best practices, build trust and relationships, make communication easy, use patient data that are already available, and be a part of ongoing education and learning.
Proposal for capturing patient experience through extended value frameworks of health technologies
Journal of Managed Care & Specialty Pharmacy | June 29, 2021
Inclusion of patient experience (PEx) in health technology assessment (HTA) has become increasingly important; however, no harmonized approach exists to help manufacturers or decision makers ensure PEx considerations are fair, consistent, and thorough within global HTA frameworks.
Spine Surgeons’ Patient Experience Strategy
Carly Behm | Becker’s Hospital Review | April 18, 2025
This article emphasizes the importance of focusing on patient experience for spine surgeons. It suggests strategies to improve patient satisfaction and outcomes, such as enhanced communication, shared decision-making, and addressing patient concerns throughout the treatment process. Optimizing the overall patient journey can lead to better results and increased patient loyalty.
Beyond surveys: Why healthcare needs a universal, validated patient experience metric
Anya Brown | Becker’s Hospital Review | April 3, 2025
The article argues for the need for a standardized, validated metric to measure patient experience in healthcare, going beyond traditional surveys. It suggests that a universal metric would allow for more accurate comparisons between healthcare providers, drive improvement efforts, and provide a more comprehensive understanding of what truly matters to patients. By focusing on a validated metric, healthcare organizations can gain actionable insights to enhance patient care and satisfaction. Ultimately, this approach could lead to more patient-centered healthcare delivery.
Don’t Import British Methods for Rationing Access to Drugs
Sally Pipes | Forbes | May 28, 2024
The author argues against adopting British methods for rationing access to drugs in the United States, particularly the practices of the National Institute for Health and Care Excellence (NICE). The author contends that NICE’s cost-effectiveness analyses lead to the denial of potentially life-saving treatments to patients based on budgetary constraints. The piece advocates for a market-based approach to healthcare that prioritizes patient choice and access to innovative medicines. The author suggests that importing such rationing methods would negatively impact patient care.
Medicare Physician Payment: The Case for Market-Based Reforms
Robert Moffit | The Heritage Foundation | November 7, 2024
The report advocates for market-based reforms to Medicare’s physician payment system. It argues that the current system is flawed and unsustainable, leading to physician dissatisfaction and potentially limiting patient access to care. The author proposes reforms that would introduce more competition and patient choice into the system, aligning incentives to reward value and quality. Implementing market-based reforms could lead to a more efficient and patient-centered Medicare program.
Why Health Equity’s Goal Shouldn’t Be Outcomes
Mariah Taylor | Becker’s Hospital Review | October 30, 2024
This article argues that focusing solely on outcomes as the goal of health equity is insufficient. It suggests that the emphasis should be on addressing the underlying social determinants of health and systemic barriers that contribute to disparities in the first place. By focusing on equitable access to resources and opportunities, healthcare can address the root causes of health inequities. Improving access and equity in healthcare delivery is crucial.
Initial Findings From HCAHPS 2.0: A New Era in Patient Experience
Katie Owens, MHA, CPXP, Healthcare Experience Foundation | Becker’s Clinical Leadership | April 24, 2025
The article discusses the initial findings from the updated HCAHPS 2.0 survey, signaling a new era in measuring patient experience. The updated survey aims to provide more relevant and actionable insights into patient perceptions of care. These findings will help healthcare organizations to better understand and address patient needs, leading to improved patient satisfaction. HCAHPS 2.0 may enhance the quality of healthcare delivery.
AMA’s Dr. Bobby Mukkamala on the patient experience
Hayley DeSilva | Modern Healthcare | June 9, 2025
This article features an interview with Dr. Bobby Mukkamala from the American Medical Association (AMA) discussing the importance of patient experience in healthcare. Dr. Mukkamala highlights the AMA’s efforts to support physicians in delivering patient-centered care and improving patient satisfaction. He emphasizes the role of technology, communication, and empathy in enhancing the overall patient journey. Focusing on patient experience is essential for quality care.
Patients as Consumers: A New Era of Expectations in Healthcare
Press Ganey | February 18, 2025
The article discusses the evolving expectations of patients in healthcare, viewing them increasingly as consumers. Patients now demand more personalized, convenient, and transparent healthcare experiences. Meeting these expectations requires healthcare providers to focus on service excellence, digital innovation, and patient engagement. Understanding and addressing these changing needs is essential for healthcare organizations.
Press Ganey, Microsoft team up: 5 things to know
Kelly Gooch | Becker’s Clinical Research | February 3, 2025
This article outlines five key points about the partnership between Press Ganey and Microsoft. The collaboration aims to leverage Microsoft’s technology to enhance Press Ganey’s patient experience and healthcare analytics solutions. The partnership will likely lead to more advanced tools for healthcare providers to improve patient care and outcomes. It uses data and AI to elevate patient experience.
Value Assessment Frameworks
Partnership to Improve Patient Care (PIPC)
This resource provides an overview of value assessment frameworks used in healthcare, which aim to evaluate the benefits and costs of different medical interventions. It discusses various frameworks and methodologies used to determine the value of treatments and technologies. Understanding these frameworks is crucial for making informed decisions about healthcare resource allocation. This page highlights the framework differences.
The U.S. Should Test Value-Based Drug Pricing
Jason Shafrin, Louis Garrison, and Melanie D. Whittington | STAT | May 6, 2024
The author advocates for the United States to pilot value-based drug pricing models, where the cost of a drug is tied to its effectiveness and the outcomes it achieves for patients. The article suggests that such models could help to align the incentives of pharmaceutical companies with the needs of patients and the healthcare system. It also stresses that value-based pricing could lead to more efficient and sustainable drug spending. Testing these models is critical for innovation.