Dr. Shantanu Agrawal leads the Center for Program Integrity with the Centers for Medicare and Medicaid Services. He joined me on The Business of Government Hour to discuss his efforts in combating fraud, waste, and abuse in federal healthcare programs.
Across the country, health care systems are focusing on ways
to reduce variation in care, improve patient safety, and more
effectively use health information technology to improve clinical
decision making and outcomes.
With each edition, my goal is straightforward: to introduce readers to the works, insights,
and advice from some of today’s key government executives, who are tackling significant
management challenges and seizing opportunities to lead.
A critical factor that will move the transformation of the healthcare industry from the initial efforts of early adopters to general acceptance is payment reform. The existing model of fee for service perpetuates retention of information rather than sharing and interoperability. Shifting payment for care to an outcomes based model will reward practices that take a more comprehensive view of the patient.