TEMPE, Ariz. Regardless of what you think about the Affordable Care Act (ACA), also called Obama Care, healthcare in the U.S. needs a major overhaul. That overhaul began with ACA, and now additional changes are going to be needed in order to make healthcare more economically sustainable in the U.S.
These changes should begin with a pay for value model that can drive the way healthcare is delivered in the US, according to experts at Arizona State University.
"If you really want better outcomes and lower costs for healthcare, and I think we all would be in favor of that, then we will have to find ways to pay those people who are getting better outcomes at lower costs and keeping them in business," said Dr. Denis Cortese, MD, director of ASU's Healthcare Delivery and Policy Program. This alone, Cortese said, would be a major shift from the current system based on pay for service.
Cortese and Robert Smoldt, associate director of ASU's Healthcare Delivery and Policy Program, recently published "A Roadmap to High Value Healthcare Delivery," which outlines the steps that are necessary to improve the delivery of healthcare in the U.S.
This "Roadmap" is the first of one of several publications by Cortese and Smoldt that show the way out of an ingrained healthcare culture, one which waits for sickness and pays for services, into a more pro-active and efficient system that pays for keeping people healthy.
The present system is not sustainable, said Cortese, the former president and CEO of the Mayo Clinic. For example, federal spending on healthcare in the U.S. has risen from 5 percent of the total federal budget in 1970 to 23 percent in 2010.
Currently, the U.S. as a whole spends more than 17 percent of its GDP on healthcare nearly twice as much as any other nation but there is significant variability in both costs and patient outcomes within the U.S.
"Overall, the U.S. gets exactly what it pays for,"
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Arizona State University