title: Executive summary: value-based purchasing and technology assessment in orthopaedics.
abstract: As US healthcare expenditures continue to rise, reform has shifted from spending controls to value-based purchasing. This paradigm shift is a drastic change on how health care is delivered and reimbursed. For the shift to work, policymakers and physicians must restructure the present system by using initiatives such as process reengineering, insurance and payment reforms, physician reeducation, data and quality measurements, and technology assessments. Value, as defined in economic terms, will be a critical concept in modern healthcare reform. We summarize the conclusions of this ABJS Carl T. Brighton Workshop on healthcare reform.
authors.affiliation: Hospital for Special Surgery, New York, NY 10021, USA. ranawatanil@hss.edu
authors.forename: Anil S
authors.initials: AS
authors.lastname: Ranawat
authors.forename: Ryan
authors.initials: R
authors.lastname: Nunley
authors.forename: Kevin
authors.initials: K
authors.lastname: Bozic
mesh_terms: D003257:Consumer Product Safety; D003362:Cost-Benefit Analysis; D017049:Employer Health Costs / Q000331:legislation & jurisprudence / Q000592:standards*; D033161:Government Regulation; D018166:Health Care Reform; D006282:Health Personnel / Q000191:economics / Q000331:legislation & jurisprudence / Q000592:standards*; D006291:Health Policy; D006801:Humans; D007348:Insurance, Health / Q000191:economics / Q000331:legislation & jurisprudence / Q000592:standards*; D007349:Insurance, Health, Reimbursement / Q000191:economics / Q000592:standards; D007857:Leadership; D009140:Musculoskeletal Diseases / Q000175:diagnosis / Q000191:economics / Q000628:therapy*; D009985:Orthopedics / Q000191:economics / Q000331:legislation & jurisprudence / Q000592:standards*; D010043:Outcome and Process Assessment, Health Care / Q000191:economics / Q000331:legislation & jurisprudence / Q000592:standards*; D010818:Practice Patterns, Physicians' / Q000191:economics / Q000592:standards; D016730:Program Development; D019984:Quality Indicators, Health Care / Q000191:economics / Q000331:legislation & jurisprudence / Q000592:standards*; D012941:Social Responsibility; D013673:Technology Assessment, Biomedical / Q000191:economics / Q000331:legislation & jurisprudence / Q000592:standards*; D016896:Treatment Outcome; D014481:United States