Tomas Philipson has an interesting post in Forbes describe how value should be incorporated into the U.S. healthcare system but should be done in way suited for the American market.
The American healthcare system is at a crossroads. Shifting to a system that reimburses based on value, rather than volume, of care requires changes in how we evaluate healthcare and make spending decisions. Elsewhere in the world, governmental agencies perform health technology assessment and make coverage recommendations based on cost effectiveness and other metrics. Such an approach runs contrary to fundamental elements of American healthcare, however. To successfully move to value-based healthcare in the U.S., distinctly American approaches to measuring value must be developed that meet several key criteria.