There is a new report that takes all of the best ideas from the health policy orthodoxy: Bipartisan Policy Center, Brookings Institution, Center for American Progress, The Commonwealth Fund Commission on a High Performance Health System, National Coalition on Health Care, Partnership for Sustainable Health Care, Moment of Truth Project.
And the best ideas are…you guessed it…they’re all of the old ideas. Here is a sample:
The need to move from paying for the volume and intensity of health care services provided to paying for the value of those services is an area of strong consensus. Policies in this area would accelerate the transition from our current fee-for-service payment system, which largely disregards appropriateness or effectiveness, to a system that rewards better health outcomes and focuses on using resources efficiently…
All of the reports recommend establishing some type of spending target to stabilize health care spending growth. These include spending caps or targets at the federal or state level. In addition, as a way of setting limits on spending for certain high-cost or inefficient health care services, all of the reports propose increasing bundled payment approaches within hospital, post-acute care, and other services. Several organizations note that by establishing a single fee for care that involves multiple providers and provider types (often across care settings), quality and efficiency problems could be reduced.
These people must place a very low value on their time.