Better Value in Health Care Requires Focusing on Outcomes
September 17, 2015 by by Caleb Stowell, MD, and Christina Akerman, MD
This philosophy underlies a remarkable collaboration between Blue Cross Blue Shield of Michigan (BCBS Michigan), the state’s largest commercial payor, and a collection of public and private providers in the state. These “Collaborative Quality Initiatives (CQIs),” financially supported by BCBS of Michigan, focus on state-wide outcome measurement for particular medical conditions or procedures coupled with frequent in-person discussions among would-be competitors to understand variations in practice and performance and to debate how best to improve outcomes.
Harvard Business Review
Blue Cross Blue Shield of Michigan’s Value Partnerships Program Has Transformed the State’s Health Care Landscape, Saved $1.4 Billion
August 26, 2015
Over the last 10 years, Blue Cross Blue Shield of Michigan, together with hospitals, physicians and care providers across the state, have collaboratively improved clinical quality, efficiency and health outcomes, saved lives and directly prevented $1.4 billion in health expenses.
Public Reporting Is a Judgment Call
July 30, 2015 by Khurshid R. Ghani, James E. Montie and David C. Miller
In mid-July, the investigative journalism group ProPublica unveiled an online "Surgeon Scorecard." While it may be easy to criticize the ProPublica data and methods, the harder and more appropriate question is: What is a better alternative? We would start by asking the purpose of measuring in the first place. In the case of ProPublica's scorecard approach, it appears that the primary purpose is to judge – to determine whether one surgeon is better than another on a limited set of outcomes for a particular procedure. A better alternative, in our view, is measuring to improve.
US News and World Report HEALTH blog