Posts Tagged ‘Health Value’

John
Seng

"Text Not Found"

Wednesday, May 20th, 2009

That's the message that popped up on screen this morning as I searched for the term "value" in Steven Pearlstein's column on health reform as well as in the related commentary on "The Washington Post" Web site.

The reason no coherent health system exists, and the reason we spend so much on health is because Americans have no legitimate sense of health value.

We don't know what health care truly costs us as individuals, and thus, we cannot begin to pretend that we value health in the strictest definition of "value."

Not only do we need to talk about it - we need to study health value. As Congress and the Administration undertake health reform, what if they understood how Americans value health care when they consider their own money being spent? For the first time, policymakers could benefit from a true sense of value. "Budget scolders," as Pearlstein describes them, could begin to make and enforce tough choices - the choices that Americans have already made in their minds in consideration of finite resources.

Last week, Spectrum released findings of the first, nationally representative study of its kind on health value, which will hopefully add to discussions in health reform: Visit www.healthvaluestudy.com.

Much of the information out there evaluates cost-effectiveness, e.g.  are we getting our money's worth with any given procedure, technology, medication or program? But that's overlooking a crucial insight: How do we really value health?

John Seng, Founder and President

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Audrey
Spolarich

An X-Prize for Health Value?

Monday, April 20th, 2009

On April 13th, the X Prize Foundation, famous for encouraging serious tinkering around things like robots that go to the moon and cars that get 100 MPG, announced a $10 million prize for developing a plan for a community that "dramatically improves health value."

But how do we, or the judges of the X Prize, judge health value? How do we measure the current state of health value in a community - or a country - and how do we measure whether or not changes move the needle toward a greater health value?

This is a question of great interest to me and to Spectrum. We decided over five months ago to begin to address this question. Yesterday we announced the methodology for our Spectrum of Health Value StudyTM. Our study will directly ask Americans how they value various health products and services when spending their health care dollars. While the first data release is scheduled for mid-May, the preliminary results are very interesting.

The fact is health care is a three-legged stool - although this may imply more stability in the system than actually exists! One leg is quality of health care. The big debate around quality is the fact that we pay for much more quality than we receive. Furthermore, quality appears to be something that varies a great deal from place to place, as was outlined in testimony by now OMB Director Peter Orszag when he appeared before the Senate Finance Committee on July 17, 2008.

Access - another leg on that stool - also is a much discussed topic, but when most people discuss access to health care products and services they are really discussing Americans' insurance coverage, or lack thereof.

Only recently have policy wonks been batting around the question of health value. In his testimony before the Senate Finance Committee on September 9, 2008, Peter V. Lee, Executive Director for National Health Policy of the Pacific Business Group on Health testified on "Promoting Quality and Value in Health Reform."

These three legs - access, quality and value - will continue to dominate the discussion around health care for the months to come. We hope you stay tuned for this interesting and important dialogue.

Audrey Spolarich, Senior Research Advisor

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