Health Care Rounds · 2026-06-12 · 43 min
U.S. health care spending keeps rising, quality scores keep climbing, and yet the care most Americans receive has barely improved. The measurement systems designed to drive better outcomes may be making things worse. Dr. Michael Chernew, Professor of Health Care Policy at Harvard Medical School and former Chair of MedPAC, joins host John Marchica to examine why decades of quality measurement have failed to move the needle on actual care quality, and whether value-based payment models can survive the incentive distortions they were built to fix. ================================================ ABOUT DR. MICHAEL CHERNEW Michael Chernew, PhD, is the Leonard D. Schaeffer Professor of Health Care Policy and Director of the Health care Markets and Regulation (HMR) Lab at Harvard Medical School. His research focuses on improving the health care system through novel benefit designs, Medicare Advantage, alternative payment models, low-value care, and rising health care spending. Dr.
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