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.
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 ”
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?”
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.
Good article for those interested in Healthcare Case Management. This article deals with child health strategies. Please also review our program by clicking here
The article, Role of district health management teams in child health strategies, states
“Well functioning district health systems are essential for planning and implementation of health services, and their efforts are key to improving quality of care and achieving health goals, say Tanya Doherty and colleagues
The district health system usually includes a network of hospitals and primary healthcare facilities catering to a specified population, under the guidance of district health management teams. This structure was developed to facilitate the management and implementation of primary healthcare.”
Emergency room visits can be necessary but also costly financially. This article looks at the cost incurred by average Americans at the ER but also many of the issues Americans face against insurance companies who refuse to pay for the care
The article, As an Insurer Resists Paying for ‘Avoidable’ E.R. Visits, Patients and Doctors Push Back, by Reed Abelson, Margot Sanger-Katz and Julie Creswell, looks at some of these issues and also connects you to other resources to help understand the nature of the ER. It states
“Anthem denied thousands of claims last year under its “avoidable E.R. program,” according to a sample of emergency room bills analyzed by the American College of Emergency Physicians. The program, which Anthem has been rolling out in a handful of states in recent years, reviews claims based on the final diagnosis of patients.”
If you are a nurse or a healthcare professional, you may discover that this certification in Healthcare Case Management will be very helpful in your academic or professional careers. Please review our Healthcare Management Certification
Good article on care management and three ways to improve it
The article, Three Ways Healthcare Organizations Can Improve Care Management, by Tamara Cull states
“It’s fair to say that a primary goal of population health management is to move from illness treatment to illness prevention—and to improve health outcomes along the way. Getting there, however, is another story.”
The article, How hospitals can turn cost-cutting drives into an advantage, by Rich Weissman states,
“Many of the registered nurses who walk into my class do so with trepidation and nervousness. They may be participants of a graduate nursing program for administrators, educators and practitioners, but most have never taken a business course. Healthcare, to them, is the art and science of patient care – not a business.”