Executive Summary: Value-based Purchasing and Technology Assessment in Orthopaedics |
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Authors: | Anil S. Ranawat MD Ryan Nunley MD Kevin Bozic MD |
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Affiliation: | 1Hospital for Special Surgery, 535 E 70th Street, New York, NY 10021 USA ;2Washington University Orthopaedics, St Louis, MO USA ;3University of California–San Francisco Medical Center, San Francisco, CA USA |
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Abstract: | As US healthcare expenditures continue to rise, reform has shifted from spending controls to value-based purchasing. This paradigm shift is a drastic change on how health care is delivered and reimbursed. For the shift to work, policymakers and physicians must restructure the present system by using initiatives such as process reengineering, insurance and payment reforms, physician reeducation, data and quality measurements, and technology assessments. Value, as defined in economic terms, will be a critical concept in modern healthcare reform. We summarize the conclusions of this ABJS Carl T. Brighton Workshop on healthcare reform. |
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