Is AI the answer to life, the universe and everything?
Beyond Fee-for-Service: New Payment Models After decades of paying providers for quantity rather than quality, American healthcare is slowly shifting toward “value-based care”—payment models that reward health outcomes over service volume. Value equals outcomes that matter to patients divided by total cost of care (risk-adjusted). In 2023, Medicare ACOs in the Shared Savings Program generated…
This is Part 4 of the Table 42 series, The Business Model of Healthcare. In the global landscape of developed nations, the United States healthcare system stands as a significant outlier. While its counterparts have largely converged on universal systems that separate health coverage from employment, the U.S. maintains a complex, fragmented, and costly multi-payer…
The Scale of American Healthcare Spending In 2023, the United States spent an unprecedented $4.9 trillion on healthcare.1 This figure, confirmed by the Centers for Medicare & Medicaid Services (CMS), translates to an average of $14,570 for every person in the country. It’s a number so vast it exceeds the entire GDP of Japan.2 Yet,…
Editor’s Note: This article is Part 5 of 8 in our series, “The Vaccine Paradox”. This series explores the stunning success of vaccination and the parallel rise of a skepticism that threatens to undo one of the greatest public health achievements in human history. Read Part 1: From Cowpox to COVID, Part 2: The Science…