Lancaster Physician Spring 2017 - 34

L A N C A S T E R M E D I C A L S O C I E T Y.O R G

Medical Society Updates

PAYING
for VALUE?
HEATH B. MACKLEY
MD, FACRO

O

ur politicians, fond of catchphrases, have endorsed the latest
Medicare reform agenda as a
move from "volume to value."
But what is value? A health economist will
tell us value can be quantified as outcomes
received per dollar spent. The rest of us
non-economists out there might say value

is the usefulness or worth of something. So
what value do we as physicians bring, exactly?
Most of us in medicine don't think about
value on a daily basis. We tend to focus
on doing the best we can, on each patient
encounter, every day. And as much as we
might be tempted to keep focusing on our
job and hope these new reforms don't disrupt

LANCASTER

34

PHYSICIAN

our ability to care for patients too much, I
think we need to understand how this affects
us. Furthermore, I think a rational focus
on value can be a positive force for change,
beyond patient care and reimbursement, by
giving us a paradigm to evaluate where we
need to be as a society, both on the county
and state (PAMED) level.



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