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Examples and Practical Suggestions

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Abstract

With the value assessment framework developed, it can be instructive to consider real-world examples to see how we can apply the framework to various situations. Here, we explore the value of several real situations or programs, including a CMS value-based reimbursement program, a medical device intended to improve medication adherence, and the entire field of primary care. For each, we will identify and define the components of the value framework and describe how we would use the framework to evaluate the defined value. Also, this chapter will cover practical suggestions for how to develop and carry out value assessments and will present a handful of templates. We close with some thoughts on incorporating the human element into value assessments.

Keywords

  • Value-based care
  • CMS quality monitoring programs
  • Medical devices
  • Primary care
  • Value assessments

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Notes

  1. 1.

    Crunchbase.com

  2. 2.

    If this sounds like the process I described in Chap. 8, it is because identifying the potential opportunity and impact is often a crucial step; details in that section can illustrate this more fully.

References

  1. Centers for Medicare & Medicaid Services (CMS) (2021) Hospital Readmissions Reduction Program (HRRP). https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Readmissions-Reduction-Program. Accessed 31 Aug 2021

  2. National Academies of Sciences Engineering and Medicine (2021) Implementing high-quality primary care: rebuilding the Foundation of Health Care. The National Academies Press, Washington, DC. https://doi.org/10.17226/25983

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  3. Shi L (2012) The impact of primary care: a focused review. Scientifica 2012:432892. https://doi.org/10.6064/2012/432892

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  4. Starfield B, Shi L, Macinko J (2005) Contribution of primary care to health systems and health. Milbank Q 83(3):457–502. https://doi.org/10.1111/j.1468-0009.2005.00409.x

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  5. Miller HD (2021) Patient-centered payment for primary care. Center for Healthcare Quality & Payment Reform

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Solid, C.A. (2022). Examples and Practical Suggestions. In: Practical Strategies to Assess Value in Health Care. Springer, Cham. https://doi.org/10.1007/978-3-030-95149-8_9

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  • DOI: https://doi.org/10.1007/978-3-030-95149-8_9

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-030-95149-8

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