4 ways to push healthcare into a new era
To grow and thrive, the healthcare industry must enter a “third era” combining the strongest features of previous healthcare landscapes, according to former Centers for Medicare & Medicaid Services Administrator Donald Berwick, M.D.
Healthcare’s “Era 1” revolved around the idea of medicine as inherently good and requiring self-regulation, Berwick, president emeritus and senior fellow at the Institute for Healthcare Improvement, writes in a commentary for JAMA. However, as it became apparent that the healthcare system had inherent flaws and contradictions, such as racial and class disparities, the movement gave way to “Era 2,” our current stage. Era 2, Berwick writes, emphasizes measurements, accountability and financial incentives.
“Era 3” of healthcare, he writes, must include features of both. To achieve this vision, he says that the industry must require:
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