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Part II: What do employers mean by "value"?

R S Galvin1

  • 1General Electric, USA.

Integrated Healthcare Report
|September 4, 1998
PubMed
Summary
This summary is machine-generated.

Employers are revolting against rising healthcare costs, seeking value from integrated health systems. Physician commitment to accountability and measurement is crucial for success in this evolving landscape.

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Area of Science:

  • Healthcare Economics
  • Managed Care Evolution
  • Employer-Provider Relations

Background:

  • Rising healthcare costs are prompting a second employer revolt against managed care.
  • First-generation managed care has reached market gridlock, failing to satisfy private purchasers seeking value.
  • Consistent annual cost increases exceeding 5% pose a significant problem, especially during economic downturns.

Purpose of the Study:

  • To analyze the impending employer revolt driven by escalating healthcare expenditures.
  • To explore the potential of integrated health systems to offer superior value to employers.
  • To identify the critical factors for provider systems to meet employer demands for accountability and patient-centered care.

Main Methods:

  • Analysis of healthcare cost trends and managed care market dynamics.

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  • Examination of employer perspectives on healthcare value and purchasing decisions.
  • Assessment of integrated health systems' capacity to address employer needs.

    • Main Results:

    • Employers are poised to shift volume to organizations demonstrating clear value.
    • Integrated health systems are identified as potential solutions but face significant challenges.
    • Physician willingness to embrace accountability and measurement is key to gaining employer trust.

    Conclusions:

    • A second employer revolt is inevitable due to persistent healthcare cost inflation.
    • Integrated health systems must overcome hurdles to become preferred providers.
    • Physician commitment to value-based care and patient focus is essential for the future of healthcare delivery and cost containment.