Confusing utilization and quality

Value’s variables often affect each other Value has three variables: quality, service and cost. Many times we confuse one of these variables for the other. As these different variables each affect value differently, it’s important to understand what activities falls under each variable and how they interact. For example, we want to increase quality and service while decreasing… Read More »

Why is value-based care not driving expected savings?

Debate over rights and true consumers hinders achieving value Healthcare costs have been on the rise for many decades and there have been multiple attempts and models to curb spending. We are presently shifting to value-based payment models under the theory that unlike previously in a fee for service world, paying only for what increases quality and satisfaction… Read More »

Specialists vs. generalists, managing the polarity

There is no one solution to specialized vs. general care As I read an article by Richard Gunderman about the proliferation of hospitalist care and what it means for the continuity of care needed in a value- based world, it made me think about the bigger question of which is better: general or specialty care? We see this… Read More »

Giving back is personally rewarding

I had the honor and blessing to attend an event that celebrated 25 years of a health center that is almost completely funded by donations. Most of the patients that receive care, around 90%, are refugees from other countries who are not just looking for a better life, but had to leave their homes and cultures just to… Read More »

Treating medical issues in non-traditional ways: Mindful meditation

Care for those in need and improving their health status requires us to think differently if we truly want to see meaningful changes. As MissionPoint Health Partners seeks to ensure all aspects of our member’s lives work together toward better health, lower costs, and greater satisfaction, we continuously look for models of care that will result in positive… Read More »

Please don’t call me a diabetic

Naming conventions highlight underlying disease-centered philosophical approach to healthcare I remember a character created by comedian Bill Saluga back in the late 70s named Raymond J. Johnson Jr. When the character would be addressed as “Mr. Johnson,” he would go into a loud shrieking voice saying, “My name is Raymond J. Johnson Jr. Now you can call me… Read More »

The value of ambulatory palliative care

Inpatient palliative care is costly and removes patients from their home A simple, straight-forward definition of palliative care is a multidisciplinary approach working with those that have serious illnesses. It focuses on improving the quality of life of people by not only focusing on symptom relief, but also the psychosocial issues that are present in those with such… Read More »

Today’s network sizes determined by value

Unfortunately, many of us remember the late 1990s and early 2000s when we used the term “narrow” networks, which were designed to be very narrow to decrease cost by decreasing utilization and trading volume for pricing. They worked. We saw a reduction in spend, but many argued this model withheld needed services. Those of us in these narrow… Read More »