A funny thing is happening on the way to health reform; the business of healthcare in the US is gradually coming of age. Although not without its share of trials and challenges, a developing trend of comprehensive outcomes-based models are now shedding light on age-old issues like care delivery and payment structures.
These new “shared savings” models, which in the most basic explanations are simplified as “pay for treatment quality vs. quantity,” aim to motivate providers who voluntarily differentiate themselves by shifting focus to improving patient care while reducing avoidable costs over time, and away from being solely incentivized on a fee-for-service basis. The models, including Accountable Care Organizations (ACO), Patient Centered Medical Homes (PCMH), and Programs of All-Inclusive Care for the Elderly (PACE), offer the potential for transformational change through connected health. They each subscribe to the concept that coordination of all available resources will keep the patient as healthy as possible while significantly bolstering efficiency and strengthening the physician-patient relationship