In a column published on The Health Care Blog, Northeastern University Professor of Management, Healthcare Systems, and Health Policy Timothy Hoff says value is focused too heavily on payment reform and cost reduction as it puts patient experience on the back burner.
“In short, right now ‘value’ means figuring out ways insurers can save money and providers cannot lose money,” he writes.
Hoff said efforts to revolutionize the payment paradigm isn’t “trickling down” to individual patients, adding that as insurance premiums keep an upward trend they’re responsible for more out-of-pocket costs.
“A value definition controlled by insurers, providers, and big employers looking to maintain profit margins does something else bad for patients,” Hoff writes. “In measuring value through the heavy use of standardized performance measures to judge their own worth to those paying them, doctors and hospitals work harder on comparing themselves to each other, which leads to gaming incentive systems that possess too many superficial and self-reported quality measures.”