title: The transition to value-based care.
abstract: Delivery of medical care is evolving rapidly worldwide. Over the past several years in the USA, there has been a rapid shift in reimbursement from a simple fee-for-service model to more complex models that attempt to link payment to quality and value. Change in any large system can be difficult, but with medicine, the transition to a value-based system has been particularly hard to implement because both quality and cost are difficult to quantify. Professional societies and other medical groups are developing different programs in an attempt to define high value care. However, applying a national standard of value for any treatment is challenging, since value varies from person to person, and the individual benefit must remain the central tenet for delivering best patient-centered medical care. Regardless of the specific operational features of the rapidly changing healthcare environment, physicians must first and foremost always remain patient advocates.
authors.affiliation: Department of Cardiovascular Disease, Heart Rhythm Service, Mayo Clinic, Jacksonville, FL, 32224, USA.
authors.forename: Jordan C
authors.initials: JC
authors.lastname: Ray
authors.affiliation: Department of Cardiovascular Disease, Heart Rhythm Service, Mayo Clinic, Jacksonville, FL, 32224, USA. Kusumoto.fred@mayo.edu.|Division of Cardiovascular Disease, Electrophysiology and Pacing Service, Mayo Clinic, 4500 San Pablo Ave, Jacksonville, FL, 32224, USA. Kusumoto.fred@mayo.edu.
authors.forename: Fred
authors.initials: F
authors.lastname: Kusumoto
mesh_terms: D002309:Cardiology / Q000592:standards* / Q000639:trends*; D003695:Delivery of Health Care / Q000592:standards* / Q000639:trends; D018166:Health Care Reform / Q000592:standards* / Q000639:trends; D017410:Practice Guidelines as Topic; D011787:Quality of Health Care / Q000592:standards* / Q000639:trends; D014481:United States
keywords: Cardiology; Quality; Value-based medicine