Abstract
Transformation of the US health-care system and payment models was inevitable. In 2013, US health-care spending reached $2.9 trillion annually, approaching 18 % of the gross domestic product. Prior to passage of the Affordable Care Act, it was widely acknowledged that the Medicare Trust fund would enter deficit spending by approximately 2017. At the same time, there was growing consumer recognition that the costs of health insurance and the amount of out-of-pocket co-pays and deductible payments were outpacing rates of wage growth. The ever-increasing expenditures on health care in the US were not sustainable and reports from the Institute of Medicine (http://resources.iom.edu/widgets/vsrt/healthcare-waste.html) highlighted that up to 30 % of health-care spending is wasted on things such as unnecessary clinical services, excessive administrative costs, inefficiently delivered services, prices that are too high, fraud, and missed prevention opportunities.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Bratzler, D. (2016). Trends Towards Outcomes, Accountable Care, and Value-Based Purchasing. In: Hassell, L., Talbert, M., Wood, J. (eds) Pathology Practice Management. Springer, Cham. https://doi.org/10.1007/978-3-319-22954-6_2
Download citation
DOI: https://doi.org/10.1007/978-3-319-22954-6_2
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-22953-9
Online ISBN: 978-3-319-22954-6
eBook Packages: MedicineMedicine (R0)