If you have comments or suggestions about this or other issues, please
send them to Dr. Hoyt at lookingfor email@example.com.
payments for common conditions and procedures. Episode costs are risk-adjusted to account for differences
in case mix across hospitals and are price-adjusted to
reflect utilization rates rather than negotiated fees.
Hospitals can examine their data to determine their
comparative utilization of services, trends over time,
and root causes of variation.
Hospitals use this information to help MVC target
improvement opportunities; identify and share best
practices; and design, implement, and evaluate statewide
interventions with the goal of identifying and sharing
best practices and benchmarks for quality and cost.
MVC meeting participation is voluntary. In
the future, however, BCBSM expects to include
MVC-generated measures in its value-based hospital
payment incentive models.
The future of health policy
I commend the U-M and the surgeons, researchers, and public and private sector partners that are
leading these efforts. Of course, the U-M is not
alone in its efforts to provide leadership in health
care policy and quality improvement. Many other
academic medical centers are working with a
range of affiliates and partners to develop meaningful, value-based health care reforms, including
the Center for Surgery and Public Health, a joint
initiative of Brigham and Women’s Hospital, Harvard Medical School, and Harvard T. H. Chan
School of Public Health, Boston, MA; the Institute on Healthcare Systems, Brandeis University,
Waltham, MA; the Cecil G. Sheps Center for
Health Services Research, University of North
Carolina at Chapel Hill; the University of California, Los Angeles, Health Policy Research Center;
and the University of Wisconsin-Madison Population Health Institute, to name a few.
These think tanks, as well as the provider-run
quality improvement collaboratives at work in Florida, Tennessee, Washington, and other parts of the
country, have the resources and collective intelligence
to develop the policies that will lead to higher-quality,
more cost-effective patient care. The government will
continue to issue rules and develop legislation that
will affect health care delivery; however, as these
groups develop value-based reforms, legislators and
policymakers will turn to them for advice in shaping
the health care system of the future.
“These efforts, so well-developed by the Michigan collaboratives, are exemplars of how we can use
health policy to improve care,” said Clifford Y. Ko,
MD, MS, MSHS, FACS, Director, ACS NSQIP.
To drive the changes that will lead to better quality and higher standards of cost-effective care, all
stakeholders—patients, providers, health care professionals, insurers, government payors, and so on—
must join together. I want to congratulate Dr. Mulholland and the U-M faculty on their leadership. I
encourage you to find out how your institutions and
practices can get involved in these types of efforts in
your region. Don’t let these opportunities to better
serve your patients pass you by. ♦
To drive the changes that will lead to better quality and
higher standards of cost-effective care, all stakeholders—
patients, providers, health care professionals, insurers,
government payors, and so on—must join together.