Battlefield Health — Provider vs. Payor

  1. Launching provider transparency initiatives
  2. Promote cost-quality mechanisms like P4P
  3. Creating centers of excellence and steering patient volume
  4. Reimbursing innovative provider models on an in-network basis (network design)
  5. Funding/co-funding investments in health information technology
  1. Making cost and quality data available to the public
  2. Multiple experiments to drive cost and quality
  3. Promoting specialty carve-outs
  4. Encouraging low-cost retail provider formats
  5. Building regional and local medical databases and networks
  1. Strong interest in protecting the status quo, particularly around reimbursement
  2. Variations in practice patterns, with limited progress towards evidence-based medicine
  3. Myriad of micro initiatives that fail to add up to much in terms of system-wide change

--

--

Get the Medium app

A button that says 'Download on the App Store', and if clicked it will lead you to the iOS App store
A button that says 'Get it on, Google Play', and if clicked it will lead you to the Google Play store