Lowering Healthcare Costs

Accelerate Adoption of Value-Based Care

West Health is continuing its efforts by focusing on three common-sense reforms – lowering the cost of prescription drugs, accelerating the adoption of value-based care models, and increasing price transparency for consumers and employers.

The Opportunity

The U.S. is still stuck in a system of volume-based (fee-for-service) care that continues to drive up costs without providing better outcomes for patients. At a time when so many Americans are looking for new solutions to high prices and poor health outcomes, value-based care can not only slow the trajectory of high costs but fundamentally reshape the way we approach health services.

Our Goal

Real reform entails redefining financial incentives toward reduced costs, greater efficiencies, better health outcomes, and more person-centered care. Adopting value-based models of care would reward positive effects—including preventive care and improved management of diseases and conditions with fewer complications—and discourage unnecessary and potentially harmful care.

Learn More About the 2019 Healthcare Costs Innovation Summit

The rising cost of healthcare is a growing and major threat to our economy, our financial security, and our individual health. For too long, we’ve been paying too much and not getting enough in return. The U.S. healthcare system is on an unsustainable cost trajectory. We have an urgent need to address this cost crisis so that healthcare can become more accessible and more affordable for all Americans. Now is the time.

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The U.S. healthcare system must accelerate the shift from fee-for-service care to alternative payment models to drive down healthcare costs and improve care quality.

Key to this shift is for major insurers and the Centers for Medicare & Medicaid (CMS) to fast-track development and deployment of effective incentives and policies that facilitate the movement of patients, providers and health systems from fee-for-service payment systems to value-based care models with two-sided risk.

Stakeholders should begin scaling successful models with enough flexibility so they can be adapted across communities and healthcare settings.

Lowering Healthcare Costs News


one estimate from the West Health Policy Center — a nonprofit that studies health care costs — pinpoints the figure at roughly $100 billion, due to lower prescription drug costs increasing workers’ take home pay and resulting in higher payroll tax revenues. Read the full article from Politico.
Last year, West Health Policy Center warned that if these trends continue, cost-related nonadherence to drug therapy—skipping doses to save money—will be "a leading cause of death in the U.S., ahead of diabetes, influenza, pneumonia, and kidney disease." Read the full article from Common Dreams.
Applying inflation caps to the commercial market would generate more than $150 billion in revenue for the federal government by 2030, according to an estimate by West Health. Read the full article from Axios.
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