Health Care Costs and Payment Models

Steps Toward High Value Care10

Insurance status, type of coverage, and out-of-pocket costs affect adherence to recommended treatment plans

• Insurance status, type of coverage, and out-of-pocket costs affect adherence to recommended treatment plans
• Given large differences in coverage/affordability, we must all seek to individualize patient care to improve quality and safety and decrease unnecessary costs

Summary

Clip courtesy of This American Life from WBEZ Chicago.

• Clip courtesy of This American Life from WBEZ Chicago.
• Moriates C, Arora V, Shah N. Understanding Value-Based Healthcare. New York, NY: McGraw-Hill; 2015.
• US Census Bureau. www.census.gov . Accessed December 16, 2015.
• Altman D, Frist W. Medicare and Medicaid at 50 years: perspectives of beneficiaries, health care professionals and institutions, and policy makers. JAMA. 2015;314(4):384-95. [PMID: 26219056]
• Department of Health and Human Services. www.medicare.gov. Accessed December 16, 2015.
• Department of Health and Human Services. www.medicaid.gov. Accessed December 16, 2015.
• Majerol M, Newkirk V, Garfield R. The Uninsured: A Primer — Key Facts about Health Insurance and the Uninsured in the Era of Health Reform. The Henry J Kaiser Family Foundation Web site. http://kff.org/uninsured/report/the-uninsured-a-primer/. Published Nov 13, 2015. Accessed December 16, 2015.
• McWilliams J. Health consequences of uninsurance among adults in the United States: recent evidence and implications. Milbank Q. 2009 June; 87(2):443-94. [PMID: 19523125]
• Centers for Medicare and Medicaid Services. www.cms.gov . Accessed December 16, 2015.
• Adapted from Owens, D, Qaseem A, Chou R, Shekelle P; Clinical Guidelines Committee of the American College of Physicians. High-value, cost-conscious health care: concepts for clinicians to evaluate the benefits, harms, and costs of medical interventions. Ann Intern Med. 2011 Feb 1;154(3):174-80. [PMID: 21282697]

References