Drastically changing healthcare landscape turns payment wargames into reality As a kid, I remember watching a movie about how a computer that was simulating a war game went hay wire and almost started World War III. When I attended business school, part of our initial class was a healthcare simulation game where we all represented a different part… Read More »
Western medicine is focused on diagnosing and treating illnesses. We have been taught that way, trained that way, and act that way. Diagnosing accurately and treating appropriately are done in an attempt to prevent early death. But, if we are successful in preventing untimely death, what have we created? If asked what the opposite of death is, most… Read More »
Healthcare today has become disease-centric. We not only focus heavily on the biomedical needs of our patients, but we do it from a disease-defining perspective. We have pathways and guidelines that are disease specific, we have specialty clinics that are disease specific, and our treatments are very focused on treating a disease. Working from this disease-based paradigm has… Read More »
Primary care provider incentives improved access and care under a monthly management payment model As we move to value-based models of care, the role of the primary care physician will play a greater role in managing the overall care of their patients instead of just getting paid to see them. Incentives have always been a positive way to… Read More »
Over the past many years, there has been a belief that there is harm and waste within our healthcare delivery model. The Institute of Medicine supported these views in their landmark publication. Most reformers believe that one of the causes of these issues is the fact that our payment models have been designed to pay for services, based… Read More »