Is health care reform merely cost-minimization, an opaque attempt to force economic responsibility? Simplifed, Here's the essence of health care reform and how to restore equity in access.... 1) To reform care we must manage the care a) The fact that delivery models vary or that they are evolving should not distract us from our goal to have effective care that is efficient and thereby cost-effective. At the end of the day, however, it must be about the patient!
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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.
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?
Failing to bill out over $1.5 million in claims? Clearly, the provider community is frustrated
We can sustain recent successes that increase the number of insured, improve the value of health care, reduce waste, and entitlement costs. [Ref.–the Accountable Care–Act (ACA)]. In addition, "healthcare costs can be controlled if we focus on and implement adequately risk-adjusted payment incentives* for a small number of outcomes. A small number of outcomes is critical for consumer understanding and will facilitate healthcare delivery change.
The "areas in which the proper reform measures could generate savings that could pay for universal coverage" include, but are not limited to unecessary and presumably unhelpful care, fraud and from the perspective of the physician, extraneous administrative expenses. Unnecessary care is believed to be responsible for as much as 30% of health care spending,2 or up to $830 billion this year alone.
Efforts That Reduce Preventable ReadmissionsFree Tags:
We are now having an unprecedented opportunity for change, but Robert H.
Pet Peeves: antibiotics for short term, ostensibly viral diseases -- bronchitis, sinusitis, nasopharyngitis or otitis media; half of abdominal CT scans or the half of back MRIs that show bulging disks on persons sans back pain. Whose failure is it to not control costs? Ref.: Chen P. "The Doctor’s Failure to Cut Costs" NY Times 3/3/2010 (Extracts are for discussion purposes, only) In an editorial in The New England Journal of Medicine, Dr.
Health care reform is merely a 'shell game.' It's a shame that we cannot, instead, manage the care so that it is affordable, accessible and effective. Squeezing docs, patients, cost shifting and cost sharing is the wrong approach.