Question special
Lead Moderator

Hello all! Thank you for joining this conversation, I'm very much looking forward to learning from all of you. Let's start with a quick trip back to 1978, when Dr. Steven Schroeder—one of our experts on this forum—published a letter in NEJM asking the Journal to include charges for diagnostic evaluation and costs of hospitalization in its “Case Records of the MGH” section. He reasoned that inclusion of such data might educate physicians to “address the problem of rising costs of medical care”. Fast-forward to the present: much of the healthcare landscape has shifted, but the problem of rising costs remains, fueling a recent surge of interest regarding healthcare value. What elements of the value debate have changed over the years? What differentiates the present day from previous value-related efforts, and what has remained constant over time?

(Dr. Schroeder's letter: