In the United States and throughout the world, health care is undergoing a transformation. It is a reaction to the broad recognition that the current system — such as it is — is unsustainable. The clear solution is to increase the value of care: improving patient outcomes while containing, if not reducing, costs. Breakthroughs, especially in genomics, promise to deepen understanding of diseases and ways to combat them. But all stakeholders — governments, consumers, insurers, employers and providers themselves — realize that scientific advances alone will not suffice. To produce the best health outcomes at the lowest cost, virtually every aspect of the delivery system must be revamped — from leadership, organizational structures and culture, and processes, to teamwork, and incentives.
America is a nation of innovators and entrepreneurs. We are a nation that cares for our fellow citizens, we have yet implement a health care system that fully meets the needs of people in this country. Health care is fragmented, and the quality of care varies widely, which leads to unsustainable health care spending.
As the Affordable Care Act (ACA) continues to be implemented, we are seeing increased access to insurance coverage for many. But the ACA does little to address fragmentation, quality of care, and the sustainability of the financial model for U.S. health care — how health care is paid for. More work is needed to achieve the drastic change in market forces that is necessary to create a sustainable health care system. To achieve this, we must reduce fragmentation of care, ensure that the highest quality care is delivered in all settings, and build a sustainable health-care financial model.
Just as the private sector must continue to fund research, the same is true for government. Funding for the National Institutes of Health and other agencies is essential for the health of Americans and the economic vitality of our country. Recent reductions in research funding put our nation’s competitiveness, economic security, and future at risk.
We also must embrace the elusive goal of value — higher quality of care at lower cost. We need a payment system that recognizes the spectrum of health care delivery across primary, intermediate, and complex care while rewarding the quality and value of each. This includes all payers — both private insurance and government-funded programs, particularly Medicare. The sustainable growth rate will be replaced with new, negotiated payment models that tie reimbursement to quality outcomes across the spectrum of care.
To transform health care in America into high-quality, patient-centered care that the nation can afford, we must address fragmentation, we must address variable quality, and we need to create a sustainable health-care financial model. Collaboration is key. Mayo Clinic has a long history of innovation focused on improving the value of health care, but we can accomplish much more by working together — integrating and sharing knowledge with one another.
Together, we must create the future of health care, a sustainable future that Americans expect and deserve.
Why has it been so hard for health care organizations to improve outcomes and efficiency, despite their best intentions? With so many good, smart people working so hard? With patients’ needs so obvious and so compelling? And with such deep societal concerns about health care spending? The answer is complex, but the result is clear: progress in health care has been all but paralyzed by self-reinforcing barriers to change. We are confident that providers can overcome these barriers by starting with a shared understanding of why we are stagnant.
calls for an equally awe-inspiring effort to improve it.
Government, Private Companies, the tech industry and Community services.
We're an active player in a remarkable evolution in health care and working alongside the people who know the landscape the best. To promote health and wellness and from our services, that's our heritage and for the future generations to come.