Managing Managed Care

Our inequitable, inefficient, oftentimes uncaring health care "system," revealed. -- Jeffrey G. Kaplan, M.D., M.S.

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Doctoring All Of Health Care At Once

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The U.S. practices of medicine and surgery aren't as cost-effective as other countries. We suffer intolerable costs (poor value) and huge variation in our practices, the way we fail to coordinate care and communicate, health care reform is vital.   Caveat: The means to a desired end–A truly integrated electronic medical record with acuity or case-mix assessment, point-of-service alerts and patient tracking (process and outcome) is necessary. Why are we not doing the right thing?

The EHR—on the Road Where a Cottage Industry Lived

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Improving doctors' quality, effectiveness and cost-benefit requires meaningful communication at all levels and settings. To cure health care's ills, there's an obvious remedy that is difficult, but not impossible to implement—make cogent information* available at the point of contact with the patient, regardless of setting and within HIPAA constraints.   

More for Less by Medicare

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Medicare is expected to consume 18% of the federal budget in 2020, 3% more than in 2010. Indeed, projections are that the Medicare trust fund (Part A) will be below water covering all the hospital bills by 2024.

Really Poor Performance, U.S.A.!

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There's our obvious quality problems, and then there's population health. Yearly, approximately 100,000 patients die of health care–associated infections, about another 100,000 die from ot her preventable errors, and "tens of thousands more die of diagnostic errors or failure to receive recommended therapies."1-3 But, That’s Just the Obvious Quality Problems.  Possibly Related Is That Our Mortality Rates Pale In Comparison to Other Industrialized Countries

Affordable Care's in Watch Mode

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Who's not anxious to improve health care's Cost/Quality/Access, lest they be left out?  Ans: anyone but concierge practitioners, i.e.,all the rest of us–hospitals, insurance companies, health care workers and drug and medical device manufacturers. The hospital association, for instance is one of six groups that went to the White House on May 11, 2009 to announce they have made a commitment to accountable care with quality, accessibility and reasonable cost as its mainstay.

Where communication fails or is inefficient

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Effective partnerships require good, secure communication Where communication fails or is inefficient Ever get frustrated playing phone tag where I leave you a message requesting a quick response and then you do the same back to me? Exasperating, isn’t it?  Well in health care having reliable communication can be critical: You fail to contact the other party and some medical history is lost, a lab is not taken into account, a follow-up never happens and a follow-through? NaDa.