avatarDr. ADAM TABRIZ

Summary

The web content discusses the shift towards personalized healthcare, emphasizing value-based care, the role of AI and ML, and the need for a patient-centered approach that goes beyond population health models.

Abstract

The article "What is Value in Healthcare?" explores the transition to personalized healthcare, driven by the accessibility of data technology and rising consumer expectations amid increasing life expectancy. It defines value-based healthcare as a model where providers are compensated based on patient health outcomes, promoting improvements in health and reductions in chronic disease incidence. The piece highlights the importance of AI and ML in enabling precise and cost-effective personalization, which can alleviate pressure on healthcare providers and ensure non-discriminatory care. It criticizes the use of biased value criteria set by non-healthcare entities and argues that quality in healthcare is not quantifiable by simple formulas but is determined by a multitude of human variables. The article advocates for a personalized medicine approach that aligns with Hippocrates' philosophy of individualized care, contrasting it with the impersonal one-size-fits-all model imposed by politicians and insurance companies.

Opinions

  • The author posits that personalized healthcare is an inevitable evolution in medicine, necessitated by the current technological era and consumer expectations.
  • Value-based healthcare is presented as a superior model that incentivizes providers to focus on patient outcomes rather than volume of care.
  • AI and ML are considered fundamental tools for achieving effective personalization in healthcare, offering precision, speed, cost reduction, and equitable care delivery.
  • The article criticizes the assignment of value in healthcare based on population-based metrics, arguing that such measures fail to capture the human variables inherent in patient care.
  • Quality in healthcare is not seen as something that can be mandated or enforced through policies or business models; it is a function of social acceptance and the match between patient expectations, physician abilities, and available care options.
  • The author asserts that personalized medicine extends beyond genomics and should encompass any technology or strategy that customizes treatment to the individual with minimal side effects.
  • The article challenges the current trend of conflating patient-centered healthcare with population-based models for reimbursement, emphasizing that value refers to the quality of care tailored to the individual, not to the interests of insurance companies.
  • Hippocrates' approach to healthcare is upheld as a timeless standard for personalized care, which contrasts sharply with the standardized models dictated by external parties such as politicians and insurers.

What is Value in Healthcare?

Personalized healthcare is inevitable because we live in an era when data technologies have made a wide variety of information accessible to everyone. At the same time, consumer expectations are sky-rocketing and life expectancy is on the rise.

Value-based healthcare is a delivery model in which providers, including hospitals and physicians, are paid based on patient health outcomes. Under value-based care agreements, providers are rewarded for helping patients improve their health, reduce the effects and incidence of chronic disease, and live healthier lives in an evidence-based way.

The 1990s was a decade of an information-technology revolution thanks to the Internet. Now we’re living in the time of acting on this information.

These are the reasons personalization and personal choice is coming to healthcare. Population health is a good start, but it doesn’t go far enough. We cannot leave out whole populations of patients, for example, minorities.

Artificial intelligence and machine learning are fundamental for effective personalization of healthcare because:

  • Personalization requires precision and speed
  • It reduces costs
  • Lowers pressure on physicians and other providers
  • It can help offer care to large patient populations without discrimination

The value of healthcare is the measure of quality of medical service provided to the patient by his or her physician solely based on their unique mutual relationship that takes into account every aspect of the person’s life, including the social, emotional, physical, financial, environmental, familial, genetic, mental, ideological and personal.

What is the value of healthcare?

Is the value of healthcare based on biased criteria created by politicians and other third parties who do not even work in healthcare? Is value just a buzz word to attract attention without delivering any actual value?

Quality in healthcare is not a mathematical formula. It cannot be enforced by mandates, policies or even new business models. Assigning value-based measures on population-based medicine is a misfit and a failure. The value set by corporations and other third parties fails to account for human variables.

Quality means social acceptance and maximum benefit in care delivery that matches the patient and the physician’s expectations and abilities given the available options.

There many formulas and equations to assess the quality of care but the bottom line boils down to the variables. These variables are determined by geography, culture, genetics, environment, education, disease and — most of all — individual requirements.

What does it mean to personalize medicine?

Hippocrates said, “Cure sometimes, treat often, comfort always.” But every individual has different needs.

Today, when we talk about personalized medicine, most people think of genomics, but personalization does not start and end with genomics or genetic interventions. It is much broader.

Any technology and strategy that leads to customizing a treatment that precisely delivers healing to the patient with minimal side effects and complications are regarded as personalized medicine.

These days everyone is talking about “patient-centered healthcare in the context of a population-based model for optimal value-based reimbursement. This is wrong. Value and reimbursement are as different as apples and oranges. Value refers to the quality of care tailored to the individual, not the insurance company.

Hippocrates’ idea of healthcare is personalized healthcare. He would not have approved of the one-size-fits-all model dictated by politicians and insurance providers.

Healthcare
Recommended from ReadMedium