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October 21, 2019

The Value Proposition for Pediatric Care

Author Affiliations
  • 1Hasbro Children’s Hospital, Warren Alpert Medical School of Brown University, Providence, Rhode Island
  • 2State of Rhode Island Executive Office of Health & Human Services, Cranston
  • 3Massachusetts General Hospital for Children, Harvard Medical School, Boston
JAMA Pediatr. 2019;173(12):1125-1126. doi:10.1001/jamapediatrics.2019.3486

Health care financing has increasingly focused on value as a driving force for payment. The triple aim (better health, less cost, and better care),1 which has driven payment reform within adult health care, can also help define value in pediatrics, although critical differences distinguish the pediatric value proposition from that for adults. We believe the current health care financing debates require a fundamental reframing of the value of pediatric care. This framework requires a time course that is longer than typical adult value calculations. It also requires a cross-sectoral lens for a return on investment, one that includes the association of child health with education, child welfare, juvenile justice, and the health of the community.

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