With higher and higher drug prices, who is really to blame? It is hard to tell sometimes but the article below looks to answer why these prices continue to seem to increase.
The article,”High drug prices: Who’s really to blame?” by Susan Morse states,
Reaction to the proposal has varied. America’s Health Insurance Plans and pharmacy benefit managers say it’s the drug manufacturers that set the prices, and it’s hard not to point the blame at pharmaceutical companies when prices for orphan drugs to treat rare diseases have sometimes increased by thousands of dollars, for no obviously perceivable reason.
Good healthcare is gold to many Americans but how much are they willing to sacrifice for it? Many nations have free healthcare with higher taxes, while others play high rates for the best plans.
The article, “How Much Will Americans Sacrifice for Good Health Care?” from the New York Times states,
It’s been nearly 10 years since the passage of the Affordable Care Act — one of the most sweeping health care overhauls in the nation’s history. The law has brought the number of uninsured people in America to an all-time low, secured protections for people with pre-existing conditions and advanced the notion that health care is a human right.
Bipartisanship is key to reforming healthcare, but as long as division exists, no true gains will be made.
The article, “Paving a Bipartisan Path on Health Care Reform” by Richard Nathan discusses how reforms can be found if people work together. The article states,
Can we overcome the polarized politics of health care and find a way forward? I believe we can. From my days as research director for President Lyndon Johnson’s National Commission on Civil Disorders to my time in the Nixon administration, my work at the Brookings Institution to my service with the Manpower Development Research Corporation and the Rockefeller Institute of Government, I have spent most of my career as a public administration scholar-practitioner working with leading state and federal lawmakers, governors, and presidential candidates in both parties.
Good article on helping make doctors not only good care providers but also good managers.
The article, “How to create health care centaurs—half doctors and half managers” by Bocconi University states,
“If hospital doctors around the world often struggle to become the half-professionals and half-managers that modern healthcare organizations need, the main responsibility is not their resistance to change, but the lack of effective support from the organization, according to a study by Marco Sartirana ”
Good article for those interested in Healthcare Case Management and revenue cycling. Many hospitals have ineffective revenue cycle management. The article looks at statistics as well as aspects of this topic.
The article, “26% of Hospitals Without Effective Revenue Cycle Management System” by Jacqueline LaPointe discusses how hospitals can do a better job in this area and enhance their revenue cycle. The article states,
“Black Book surveyed over 4,640 individuals from 522 hospitals and healthcare delivery networks on their use of 165 revenue cycle management technology services and solutions. The survey showed that revenue cycle management improvement is happening, but a significant portion of hospitals still do not have workable solutions.”
Please also review our Healthcare Case Management Program to learn more about revenue cycles as well as to become certified in Healthcare Case Management. The online program is designed for working professionals in the healthcare field who are looking to enter into the case management arena.
One thing both sides of the political aisle can agree on in these 2018 midterms is that the American people were definitely concerned about Healthcare. With the victory of many open seats to Democrats, they know have a strong say and shape in the future evolution of that healthcare system.
The article, “Democrats Won a Mandate on Health Care. How Will They Use It?” by Robert Pear explores the situation in Washington and how Democrats in the House will look to determine the future of Healthcare in opposition to the ideals held by President Trump.
The article states,
“After House Democrats’ election triumph, Nancy Pelosi’s appraisal was clear: “Health care was on the ballot, and health care won.”
But how do Democrats intend to use the power they won?”
Good article on value based care and how it can help drive preventative care. In fact, patients in a value based care model benefit greatly in preventative care practices. Through various models, education and teaching can help patients understand their own diagnosis and recovery to prevent future issues. This type of model is very beneficial to any organization and it is of no wonder that these value based care models correlate with better preventative care with patients.
The article, “Value-Based Care Drives Preventive Care, Care Management” by Sarah Heath explores this reality and delves into greater detail how value based care models are very beneficial for patients. The article states,
Patients receiving care from a doctor in a value-based care model tend to experience better quality care, receive more preventive care, and yield higher medication adherence and adherence to chronic disease management plans, according to a new report from Humana.
A certified Case Manager also is well versed in these areas of study and makes an excellent candidate to help implement various value based care models. Pleas also review our Healthcare Case Management Program to see if it matches any of your academic or professional needs. By taking the core courses in Case Management, qualified professionals can earn a certification in Case Management with AIHCP and apply the skills to their profession.
Readmission into hospitals is a big cost issue. Patients with more complicated issues need extra care and management in preventing unexpected returns. A more comprehensive and qualify based care and lessen readmission for those suffering from more complicated issues. The article and study below look closer at why this type of care worked in lowering admission.
The article, “Focusing on Patients With Complex Medical Needs via Intense Care Management Shows Promise, AJMC® Researchers Say” states,
“Super-utilizers,” or patients with complex health issues and frequent hospital visits, are becoming a focus of care management programs in an effort to improve patient outcomes. However, evidence on their effectiveness is slim. A study published in The American Journal of Managed Care® (AJMC®)found that Medicare fee-for-service patients in four states who fit this category and were enrolled in a high-intensity care management program had 37 percent fewer unplanned hospital readmissions than a matched comparison group.
Good article on chronic care and the importance of identifying factors in that type of care. Those certified in Healthcare Case Management can be very useful in chronic care and management of it.
The article, “Designing a high-value approach to chronic care management” by Virginia Gurley discusses factors surrounding chronic care and how better methods can factors can be employed in its deployment. The article states,
“Eighty percent of members’ health is determined by social factors such as housing, economic position, education and social connections, so called social determinants of health. But, most healthcare organizations struggle to use social determinants data to target members for focused intervention, a recent study found.”
It is important for these various other social factors surrounding a patient to be reviewed as the article suggests. Please also review our Healthcare Case Management Program and see if it matches your academic and professional needs.
As long as readmissions are high, the cost of healthcare will be high, so it is important to reduce readmissions for this financial purpose alone, but also for the overall health and recovery of the patient which can be lost in the game of cents and dollars