Radiology at the Helm of Value-Based Care Transformation: From Stewardship to Leadership
Pamela T Johnson, Yoshimi Anzai
J Am Coll Radiol . 2021 Sep;18(9):1226-1228. doi: 10.1016/j.jacr.2021.07.018. Epub 2021 Aug 3.
In the past decade, the need to temper the rising cost of care in the United States has become a national priority. Most concerning is that more than $900 billion of the nearly $4 trillion spent each year is not effectively improving patients’ health [ 1 ]. Additionally, a large portion of this “wasted expenditure” reflects deficiencies at the provider-patient level: use of low-value services, failure of care delivery, and failure of care coordination [ 1 ]. Strategies to improve value (higher-quality care at a lower cost) are being designed at the population level, institutional level, and provider level and may be driven by multiple stakeholders, including policymakers, payers, health system leaders, or frontline clinicians. The most effective strategies are patient centered and consider both the numerator (quality, outcomes, patient experience) and the denominator (personal and financial costs) as longitudinal measures over time.
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