Health Services Research & Policy ■ Clinical Practice Management ■ Training & Education ■ Leadership
Health Services Research & Policy ■ Clinical Practice Management ■ Training & Education ■ Leadership
Health Services Research & Policy
■ Clinical Practice Management
■ Training & Education ■ Leadership

Value Fatigue

Tired of hearing about value-based payments? Great! That's actually a sign of success.

"All I hear all day long at school is how great Marcia is at this or how wonderful Marcia did that. Marcia, Marcia, Marcia!" whines envious middle-sister Jan about her "perfect" older sibling in the 1970s TV show The Brady Bunch. So iconic was that particular sitcom scene that "Marcia, Marcia, Marcia" is found in Internet memes today and was even the title of an episode of American Crime Story in 2016.

If you attended recent ACR annual meetings — or almost any other radiology society meeting over the last few years — you likely heard "value" and "volume-to-value" so often, even repeated numerous times in a short presentation, that it seemed a transcendental meditation mantra: "Value, value, value" or "Volume-to-value, volume-to-value, volume-to-value", of course sans Jan's annoying whine. You could probably even play a game like when I was a child in the back seat of my father's car as the family was driving to a relative's house for weddings, etc. It was called "punch buggy," and the winner was determined by who could point out the most Volkswagen Beetles before the other. But you likely didn't obsessively count up all the times someone said "value" or "volume-to-value" so you could enjoy the bragging rights that come with such a notable achievement.

So, are you sick of hearing "volume-to-value"? Do you experience reflexive cringing any time a word that starts with the letter "v" is uttered at a medical conference? Sure, the phrase "volume-to-value" is hackneyed, but you're saying that as if hackneyed is a bad thing. Dr. Rich Heller, a radiologist who lives in Chicago, tells Radiology Firing Line host Dr. Matt Hawkins that the repetition of that simple phrase — "volume-to-value" — is a good thing. Why? Because that phrase and the concept it represents has penetrated not only our heads like an irremovable ear worm, but has made its way into official governmental policy. Not unlike how the repetition of a simple word — "Marcia, Marcia, Marcia" — made that phrase memorable (albeit coupled with equally memorable whining). 

Artist Name - Radiology Firing Line - Quality and Value
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Sunday, 24 September 2017

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