- TEDMED #GreatChallenges :? Health Care Quality: What's Cost Got to Do with It
[1945003?] April 8, 2014 
Recently, Whitney Zatzkin, TEDMED of great challenges program, hosted a webinar panel of experts to provide an overview of the cost / quality / value issue. The major challenges TEDMED program is sponsored by the Robert Wood Johnson Foundation and seeks to build a "better future of health and medicine" by working on issues that "can not be solved with a magic bullet."
Expert panelists
Jeanne Pinder is a former journalist and editor at the New York Times and is currently a web entrepreneur and founder of ClearHealthCosts.com. ClearHealthCosts.com seeks to become a one-stop online source for high quality health care prices. ClearHealthCosts.com help people understand the costs of health care before they enter the market and offers a meeting place for those interested in share information.
Chapin White , Ph.D., is an economist and researcher main health policy at the RAND Corporation. Former principal health researcher at the Centre for the study of health system change and a senior analyst in the Office of congressional budget, White worked on modeling the health reform and long-term trends and geographic variation in health spending.
Samuel Stolpe , Pharm.D., Is the associate director of quality initiatives for Pharmacy Quality Alliance (PQA), where he works to demonstrate and promote the value of all of performance measures PQA. Dr. Stolpe also has experience in community pharmacy, management associations from academia and pharmaceutical.
Donna Cryer is the CEO of CryerHealth, which is "dedicated to ensuring that the voices and views of patients and doctors are heard in the health care decision making. "Cryer is a liver transplant recipient, a patient representative to the US Food and Drug administration (FDA) and the Chairman of the Board of the American liver Foundation. She is also the author of DCPatient that covers news and events from the perspective of health care patients.
urgent challenges
Tying cost and quality control measures
patients, when asked to choose the quality or price, tend to choose the quality regarding their health. care quality measures were used by different health care systems and regulators government for years, but traditionally they are not related to the cost-of-care or efficiency measures. Thedevelopment cost metric / efficiency is far behind that quality care measures, but to promote transparency and patient involvement, they really should be developed hand in hand. It is difficult for the public to find and understand the care quality measures, as many individual health care systems do not publicly release them. Finding costs can be just as difficult, but many experts believe patients would be better if they had access to cost and quality of care measures before seeking treatment.
Understanding the Billing
consumers are willing to pay more for quality still want the comfort of knowing their dollars for health care are used effectively, but is difficult to decipher whether the money is "good." Patient costs vary depending on the health system, geography and insurance. While Medicare may be billed $ 18,000 for spinal surgery, another insurer / patient could be charged $ 130,000 for the same exact procedure. Organizations such as ClearHealthCosts.com working on greater transparency so that patients can compare the costs in advance.
Does the higher prices reflect the quality of care?
The short answer is, "Not always." The working panelist Chapin White, Ph.D., studied the trends in quality measures compared with the cost of care. His report found that high-priced hospitals tend to be larger teaching hospitals and that hospitals compared to low-cost, quality scores are essentially the same or lower - with the exception of certain measures cardiovascular health. The study by Dr. White looked at negotiated prices, which means the price plan and the health of patients paid, in total, for a service. Negotiated prices often differ from the actual price of a service, which includes all the resources of a dedicated to a particular service, including overheads such as maintenance and operating costs. The negotiated prices and actual prices are only weakly correlated with the load that is usually seen on a bill
@MsWZ :. Financial and regulatory constraints removed, how do you change #healthcare?
-. MHA @ GW (@GWonlineMHA) February 13, 2014 Key Takeaways
- patients choose quality first when the option
- health care is a market - consumer demand will lead to more quality / price / transparency efficiency
- Moves must be made for greater public availability of data easy to understand so that people can make decisions
- the best way to keep the cost of hospital care down is, and always will be prevention.
Moves to the transparency of quality and cost data could fundamentally change the way consumers approach health and collect information on the health market. No $ 0 ultrasound bill six months after the procedure, toll shocking off-grid for a visit to the emergency room and not learning your neighbor had the same procedure, with the same result, for half the cost because they went to another hospital. With good price and quality information, no patient should be surprised by health care costs.
What information you find useful regarding the cost and / or quality of health care? What tools and resources do you use? How these resources are less than your expectations? Tell us in the comments.
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