Health Care Industry

Reference: Chaiyachati KH, Bhatt J, Zhu JM. Time for Value-Based Payment Models to Adopt a Disparities-Sensitive Frame Shift. Ann Intern Med. 2018;168:509–510. doi: 10.7326/M17-2590 Bottom line, chosen from the paper The health care industry cannot ignore true instances of poor quality, but it also should not worsen health care for at-risk populations. To address this tension, value-based payment models should adopt a disparities-sensitive frame shift to integrate measures of equity into hospitals’ financial calculus, incentivizing hospitals to tackle the disparities challenge without losing sight of quality. Achieving this frame shift requires us to continue determining which metrics matter most when addressing disparities in health care delivery and outcomes, both to improve risk adjustment and to establish which measures are [...]