Publication date: 2018-10-18 14:39
A Special Feature on the nation's compensation for healthcare executives, selected titles. Source: Sullivan, Cotter and Associates.
Fortunately, there is a better way. Why Value-Based Payment Isn't Working, and How to Fix It describes how to create a patient-centered payment system that can solve the problems with the current fee-for-service payment system while preserving its strengths. The Patient-Centered Payment system described in the report would:
In addition to provincial and city initiatives (see the CBR web exclusive: Regional Development Sheds Light on National Progress), companies should have a strong grasp of regulatory changes that healthcare reform brings to specific product markets.
To help you develop a clear path to reaching your goals during this period of change, the Benefits & Human Resources Consulting team of Arthur J. Gallagher & Co. brings focus to the process. By providing easy-to-understand, actionable guidance and resources to help you remain in compliance, you’ll gain peace of mind, so you can get back to focusing on the things that matter most to you.
This policy brief outlines six ways that Comprehensive Care Payments need to be structured in order to avoid the problems that traditional capitation payment systems caused. It also defines several potential levels of Partial Comprehensive Care Payments that could help smaller physician practices to transition into this type of payment system. Download the Policy Brief .
It’s not just the government’s direct costs of running healthcare programs that are a drag on the system. The elimination of unnecessary, duplicative and counterproductive regulations has the potential to save billions of dollars. For example, Clinical Lab Improvement Amendments could be eliminated and quality would still be monitored by states without duplications and unnecessary federal oversight. Similarly, the prohibition on physicians owning hospitals ignores the evidence that physician-owned hospitals, especially heart hospitals, have lower costs and higher quality of care.
Howard Dean: Well 7565 and 7567. For a long time they&rsquo ve put their own agenda ahead of the agenda for the country. They&rsquo re true believers. They believe that they&rsquo re so right that they have the right to tell everybody else what to do, whether they like it or not. That&rsquo s why they&rsquo re in the position they&rsquo re in right now.
Fortunately, although the barriers to payment reform can seem daunting, they can be overcome. Ten Barriers to Healthcare Payment Reform and How to Overcome Them describes many of the biggest barriers that physicians, hospitals, health plans, employers, and policy-makers are facing in implementing payment reforms, along with strategies for solving them. For example, the report describes:
Since health care is so expensive, most people buy insurance coverage. That s why most discussions about health care reform is centered around making insurance more available. Insurance operates by charging a monthly fee. This is also called a premium. In return, the company pays medical expenses.
Howard Dean: Totally unnecessary. We use so much high tech medicine right now that you could cut what we do by a third and no one would notice. What you&rsquo ve got to do is change the way we are paying doctors, which they&rsquo re about to do in Massachusetts. If you got rid of pay-for-service medicine you&rsquo d get rid of a lot of unnecessary high tech medicine without doing any rationing at all, or effecting people&rsquo s care. So I don&rsquo t agree that you need to ration high tech medicine.