An emphasis on outcomes.
Increasingly compensation models throughout medicine will hold clinicians accountable for outcomes, rather than paying for process as was the old approach.
“This trend will increase and it’s in everyone’s best interests,” says Charles Jaffee, MD, PhD, the chief executive officer of Health Level Seven International (HL7). HL7, a nonprofit organization, works on standards for the integration, sharing, and retrieval of electronic health data.
Wise discusses the strong motivation that hospital systems, which increasingly own primary care practices, have to avoid 30-day penalties for readmissions. She cites the example of an elderly patient being discharged from the hospital with a prescription to fill, which he does not fill because he considers its price too high.
“The discharging physician at the hospital assumes the man is going to take the drug but he’s not,” says Wise. “Close association with that patient’s primary care provider could change that outcome.”