Service of care should not be the main contributor of reimbursement but quality of that service. Overall population health, patient experience and patient care that reduces unnecessary stay and services are all critical elements.
The article, “Improve patient care – aim for the Triple” by Phillip Gratzel von Gratz looks at the triple aim of patient experience and health. He states,
“There is a broad consensus around the world that healthcare reimbursement should at least partly be based on performance and outcomes and not exclusively on service provision. This is mostly a theoretical consensus though”
Please also review our Healthcare Case Management Program and see if it meets your academic and professional needs. Healthcare Case Managers need to understand the value of patient care in regards to quality and also cost effective ways to treat patients.
Maximizing efficiency is a key element of case management, especially healthcare case management. Results with better health is superior to paper work.
The article, “Four Ways to Empower Your Care Managers to Focus on Results, Not Paperwork” sponsored by HMS and Fierce Health Care states,
“Today’s care managers face a variety of challenges with many handling a higher volume of complex patient cases than ever before. At the same time, value-based care delivery and reimbursement models demand that care managers keep a close eye on healthcare costs while still managing their day-to-day.”
Technology is important in healthcare but without trained professionals using it, it has no value. This is why it is so important to have good, trained and caring professionals behind all technology. Only with both, can healthcare make a difference
This is especially true with chronic pain management. The article, “When it comes to chronic care management, tech can’t replace people” by ERIN DIETSCHE states,
“Technology has become increasingly common in the healthcare arena. The story isn’t any different in the chronic care management space, as companies like Livongo and Omada Health leverage tech to assist patients. But a new survey found humans are just as important as trendy IT tools.”
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 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.
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
Medicaid can be a life line for some who are to ill and sick to have any other type of coverage. This article looks at an individual case. Please also review our Healthcare Case Management Program
The article, Living and Dying on Medicaid, by Libby Watson states,
“Todd Mouw, a 53 year old man who lived in Iowa, died on July 8. He was married to Cyndi Mouw; he helped organize meals for needy people in his county with his family; and he was a quadriplegic, paralyzed 32 years ago after an accident. He couldn’t breathe on his own and needed round-the-clock care, but he lived for years and years at home, with care workers provided by Medicaid, until that care was slowly taken away by the for-profit company that has run his plan in Iowa since 2016.”
Good article on the importance of healthcare professionals seeing healthcare as more than just medicine but also education. This is especially true in healthcare administration as countries continue to grow and their healthcare systems need educated administrators.
The article, Education: Healthcare is much more than just medicine, by Pradeep Panda states,
“According to the Asian Development Bank, not only is India bound to possess the world’s largest workforce by 2027, it is also projected to sustain its impressive GDP growth rate of 7.6%.”
Good article looking at healthcare in the 1980s and since.
Please also review the article, Healthcare in the 1980’s and Beyond, by Katie Hart Smith states,
“On April 11, 2018, I had the honor of participating on Georgia Gwinnett College’s School of Health Sciences panel discussion titled, “Healthcare in the 80’s and Beyond,” at the Button Gwinnett Day Celebration. Fellow panelists included Dr. Lloyd Hofer, Medical Director of Gwinnett, Newton, and Rockdale Public Health, Dr. Greg Lang, Executive Director, Good Samaritan Clinic, and Pamela Garland, Chief Nursing Officer, Gwinnett Medical Center. ”
Healthcare is expensive and complicated. This article looks at the expenses and high prices of healthcare
The article, Why is health care so damn expensive?, by Danny Crichton states
“Never has there been more talk of innovation and yet more disappointment in the future than in the health care industry. AngelList shows almost a thousand startups just in the digital health space alone, and VCs invested $3.5 billion in digital health startups in just the first half of 2017 according to Rock Health’s industry analysis.”