Performance-Based Medicine (Creating the High Performance Network to Optimize Managed Care Relationships)

This book guides readers through the maze of definitions and discussions related to value-based purchasing, healthcare delivery, and pricing. It tackles the question of how hospitals, HMOs, physician groups, and employers can arrive at an optimized reimbursement cost and coverage access decision that is attractive to consumers yet fulfills the need for a working margin. Focusing on key issues of organizational structure, management, and measuring the outcomes of quality, the book explores options for reengineering the healthcare delivery system. It offers an outline of tasks to move from a disorganized collection of care components to a seamless arrangement of high-performance caregivers.