Part 1
Reading to supplement answer:
Over the past several decades, Healthcare spending in the United States has increased faster than general economic growth. Part of this trend is attributable to our system of Health Care financing, in which third-party payers, rather than consumers, pay the bulk of the class. This award trend is also influenced by citizen demand for Limitless healthcare services and well-intentioned but costly regulations on providers. Furthermore, personal Behavior choices (poor diet, lack of exercise, drug abuse, and so on) also drive up healthcare costs. Attempt at Flowing cost Grove have largely focused on reducing payments to Providers or on restraining services covered by insurance companies. These attempts ultimately end up being undone or result and patients being unable to use their insurance because providers opt out of accepting it. There is no easy structural fixes or large pot of money to be found that will solve the issue of healthcare costs growth. Importantly we, need to gather data on ongoing programs designed to address the issue. Whether it is Accountable Care Organization, company-sponsored centers of excellence, or use of technology traduce innercessory treatments and procedures, dad can provide insights into what saves money without sacrificing value what does not. Organizations such as Kaiser Permanente, in which the provider is the employer and the insurance, have let to cost reductions, and improved outcomes of patients;Search models of care should be analyzed for sustainability and scalability. The models look here could be phrased in over a five-year period, gradual Erie plating traditional fee-for-service reimbursement with more value-based reimbursement (Schroeder & Frist, 2013) such efforts take time and cannot be able mini rapidly. But research and data will move us closer to aligning providers and payers' incentives'-something the current system still fails to do
Much potential called saving comes from changing individuals Behavior, or perhaps from rationalizing caregiving in certain cases (at the end of life, for babies born very premature early with significant health problems, for health problems brought on by obesity, and so on). American Temple strong aversion to such limits on Healthcare, however come and such changes are not amendable to cope with policy options or acceptable to our culture at Large. Find me a way to change our culture of health and finding transformation of approaches to rethinking our Healthcare System remain key challenges facing the health sector in those who lead it.
Is the growth in health care costs a real concern for the United States? Why or why not?
Comment on the claim that"the U.S. health care delivery system is the finest in the world."
If obesity in the end ability or willingness of patients to follow good health Protocols are two drivers of healthcare costs, what are the implications of Shifting more costs to Consumers who are obese or you do not follow medical protocols? Which such a shift be ethical? Will this change Behavior, or would it simply make popular these populations seek less medical treatment (potentially driving up future Healthcare cost)?
In August 4th 2013, a New York Times article describe the role of non-medical cost in driving up Healthcare. European health care centers are described as "Spartan"-for example, Belgian Clinic was described as having metal folding chairs, blend wall coloring, and no gift shop. This was contrast with a u.s. hospital that had a comfortable waiting room, fancy Lobby, and even newsstands to sell conveniences to patients and visitors. Discuss these differences amount of cost and value. What barriers might the United States face in making a transition to a more European style system?
Discuss three interventions at the provider level in at the same state level (where much regulation occurs) that will increase value for cost in healthcare. Explain why the interventions will work. If they will work, why haven't we implemented them already?
Part 2
Reading to supplement answer:
Your manager at a major healthcare provider in a competitive environment. The CEO of the medical center informs you that the board of directors has asked that monthly reporting not be limited to financial projections and budgeted actual reports. Rather, they are becoming concerned with evaluating the Medical Center's performance on value. The board still has a fiduciary responsibility to ensure the the financial health of the organization, but members are increasingly concerned with value provided and not just cost. The CEOs you to advise her or what she should propose to the ward for such monitoring of value.
- As you draft your recommendations, consider the following questions:
- Why might the board of directors want to monitor value?
- What indicators would you recommend to the CEO?
- How would you gather data and evidence that might suggest increasing value for cost?
- How would you measure success in these value-for-cost efforts?