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April 12, 2022
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David Burda
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Economics Outcomes Policy System Dynamics
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4-Minute 4sight Blogs Dispatches

Paying for Outcomes: Five Revolutionary Reimbursement Stories on 4sight Health

If outcomes matter, why aren’t we paying for them? It’s a question we at 4sight Health ask every day, and it’s a question that revolutionary healthcare leaders are trying to address with new care models, new reimbursement systems and other solutions. Below are five of the most-read or listened to payment stories on 4sighthealth.com from the first quarter of this year. We’re going to keep beating the drum on this issue until we start paying for the outcomes we want.

1: Don’t Hate Me Because I Love Prior Authorization

Doctors don’t like people checking their work any more than most kids like vegetables but like it or not, prior authorization is good for us. More. 

2: It’s The Payment Models, Stupid! Part 2: Taking It to the States

David Johnson discusses strategies for expanding the use of Maryland-like payment model to other states. More. 

3: It’s The Payment Models, Stupid! Part 1: Maryland Leads The Way

Zeke Emanuel, Merrill Goozner, Matt Guido and David Johnson co-authored two articles on Maryland’s unique payment model and its potential applicability to other states. Unlike other payment reform initiatives, Maryland’s approach is working at scale. More.

4: Podcast: Medicare Advantage Warning Signs

What’s right with Medicare Advantage? What’s wrong with Medicare Advantage? Where does Medicare Advantage go from here? Listen.

5: Is Value-Based Reimbursement Mostly Dead or Slightly Alive? 

One of my favorite scenes in The Princess Bride is when Miracle Max tells Inigo and Fezzik that Westley is “mostly dead,” which means he’s “slightly alive.” There’s hope for a full recovery. We can say the same thing about value-based reimbursement. More.

 


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About the Authors

David Burda

Dave Burda began covering healthcare in 1983 and hasn’t stopped since. Dave writes this monthly column “Burda on Healthcare,” contributes weekly blog posts, manages our weekly newsletter 4sight Friday, and hosts our weekly Roundup podcast. Dave believes that healthcare is a business like any other business, and customers—patients—are king. If you do what’s right for patients, good business results will follow.

Dave’s personal experiences with the healthcare system both as a patient and family caregiver have shaped his point of view. It’s also been shaped by covering the industry for 35 years as a reporter and editor. He worked at Modern Healthcare for 25 years, the last 11 as editor.

Prior to Modern Healthcare, he did stints at the American Medical Record Association (now AHIMA) and the American Hospital Association. After Modern Healthcare, he wrote a monthly column for Twin Cities Business explaining healthcare trends to a business audience, and he developed and executed content marketing plans for leading healthcare corporations as the editorial director for healthcare strategies at MSP Communications.

When he’s not reading and writing about healthcare, Dave spends his time riding the trails of DuPage County, IL, on his bike, tending his vegetable garden and daydreaming about being a lobster fisherman in Maine. He lives in Wheaton, IL, with his lovely wife of 35 years and his three children, none of whom want to be journalists or lobster fishermen.

 

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