CHICAGO—Since 1980, the medical value gap has widened between the United States and other countries. The U.S. has increased both public and private sector spending, and yet obesity rates are still the highest of any developed country, said Michael S. Benninger, MD, chair of otolaryngology at the Cleveland Clinic in Ohio. “Specialists dominate healthcare delivery in the United States,” he added.
Explore this issue:July 2016
The Affordable Care Act (ACA) was intended to remedy this situation, and it represents an unprecedented health plan consolidation. Its implementation, however, is associated with the escalating cost of healthcare, along with a Centers for Medicare and Medicaid Services (CMS) drive for provider accountability. Both the payer and provider have adopted new technologies, and the past years have seen the rise of both public and private healthcare exchanges and patient cost sharing.
During the Triological Society Annual Meeting, a panel of experts convened to discuss the implications of this evolving landscape for physicians, patients, and optimized care. The panel acknowledged that the new risk-based payment models represent an industry shift that leaves physicians not only to respond to unsustainable costs, but also to absorb the shifting of risks to providers. It is against this backdrop that physicians must look closely at the practice of medicine and define value.