The Business of Health Care Reform

摘要

Since the passage of the Patient Protection and Affordable Care Act of 2010, it is unusual to go a day without hearing or seeing information on health care reform. Although there is increasing discussion and legislation on health care delivery, the focus for providers appears to be on quality and cost of care. Regardless of any future legislative changes or legal challenges, it is safe to say that "the cat is out of the bag," that there will be a greater emphasis on defining and measuring the value of health care. As a result of this, there is an ever increasing momentum to change from a pay for procedure model of care to a pay for value model of care. This system would pay for value rather than volume. In fact, the Centers for Medicare and Medicaid System (CMS) is developing a value-based payment modifier for providers in an effort to improve both quality and efficiency of care [1].