There is a revolution occurring in healthcare spending. The focus is on value for healthcare dollars that are spent.  Healthcare systems want to pay for value and not for volume.

When Professor Michael Porter, Strategy Professor at Harvard Business School, analyzed the healthcare system about a decade ago, he concluded that competition was highly dysfunctional.

He posited that competition based on value was what was needed.  Porter defined value as the best outcome possible at the lowest cost.

He wrote about the need for value based competition in his landmark 2006 book "Redefining Healthcare".

This focus on value has lead to Value Based Insurance Design (VBID) and the flip side of that equation - Value Based Care.  

Health insurers want value not volume.  The focus is clearly on delivering value per dollar spent.

Many hospital systems are preparing for pay for performance. This improves the paradigm for the consumer and society.

In 2006, a 62 year old Canadian male had a 2 artery bypass.  The surgeon used the patient's right radial artery (from his arm) and his left internal mammary artery (from his chest) for the bypass. Arteries are longer lasting and more durable pipes compared to veins.

The client retained Rupert Case Management Inc. (RCM) to provide expert advice.

We put together an expert panel with a leading cardiac surgeon and a very experienced interventional cardiologist.  

RCM's team reviewed the Florida angiogram.

It all starts with a conversation.  We are always pleased to help.