title: What can be achieved by redesigning stroke care for a value-based world?
abstract: Stroke results in significant healthcare costs and decreased quality of life. Thoughtful healthcare delivery redesign can help solve this problem through lower-cost, higher-quality care. The dominant fee-for-service reimbursement system may not incentivize delivery systems to invest in new cost-saving delivery innovations. Furthermore, lack of transparency hinder development of new systems of care. However, emerging payment models, including bundled payments and prospective payment, promote adoption of value-based stroke care methods. Both prevention and treatment of stroke offer opportunities to improve value-for-money via adoption of a package of emerging innovations. In order to encourage such adoption, alignment of incentives is crucial.
authors.affiliation: Clinical Excellence Research Center, Stanford University, Palo Alto, CA, USA.
authors.forename: Waimei
authors.initials: W
authors.lastname: Tai
authors.forename: Lucy
authors.initials: L
authors.lastname: Kalanithi
authors.forename: Arnold
authors.initials: A
authors.lastname: Milstein
mesh_terms: D017046:Cost Savings; D003362:Cost-Benefit Analysis; D003695:Delivery of Health Care / Q000191:economics* / Q000458:organization & administration / Q000592:standards; D018588:Fee-for-Service Plans / Q000191:economics; D017048:Health Care Costs; D005102:Health Expenditures; D006801:Humans; D018803:Models, Economic; D019984:Quality Indicators, Health Care / Q000191:economics; D020521:Stroke / Q000191:economics*; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome; D062505:Value-Based Purchasing / Q000191:economics*
keywords: healthcare cost; prevention; process improvement; stroke; value