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This article addresses the bridging of the chasm between volume and value-based health care. Some of the material presented herein is opinion (the author's), but most of the material represents facts, cold hard facts. We begin with a definition of chasm: “A deep fissure in the earth, rock or another surface synonymous with gorge or abyss.” A chasm may also be thought of as “a profound difference between people and/or viewpoints.” Such is often the case when the discussion involves healthcare economics. Over the past several decades, we have resided on a plateau of volume-based medical care. However, we are approaching a chasm and its adjacent abyss. Across this chasm there exists another plateau on which value-based medical care resides (Figure 1A). We will likely arrive there in 5 to 10 years. It is clearly a question of balance as to whether we can bridge this chasm between these plateaus (Figure 1B). If we cannot, we will fall into the abyss. In this abyss loom unsustainable quality
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This article addresses the bridging of the chasm between volume and value-based health care. Some of the material presented herein is opinion (the author's), but most of the material represents facts, cold hard facts. We begin with a definition of chasm: “A deep fissure in the earth, rock or another surface synonymous with gorge or abyss.” A chasm may also be thought of as “a profound difference between people and/or viewpoints.” Such is often the case when the discussion involves healthcare economics. Over the past several decades, we have resided on a plateau of volume-based medical care. However, we are approaching a chasm and its adjacent abyss. Across this chasm there exists another plateau on which value-based medical care resides (Figure 1A). We will likely arrive there in 5 to 10 years. It is clearly a question of balance as to whether we can bridge this chasm between these plateaus (Figure 1B). If we cannot, we will fall into the abyss. In this abyss loom unsustainable quality
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