Are patient In an effort to increase costs and increase efficiency, the hospital was excluded.
The reason for this is that the country’s hospitals are shifting from a fee-paying service model to one that rewards quality and safety. Early next year, Medicare will require that by 2018 at least 30 percent – and 50 percent – of all payments be shifted from fee-for-service to alternative models based on quality of care, not services provided.
In a breakout session Tuesday titled “A Master Class in Value-Based Care” US News Hospital tomorrow Conference in the District of Columbia, the expert discussed how hospitals and health care systems are paving the way between these changes.
The participants of the panel included Drs. Jim Frankfort, Chief Medical Officer and Vice President of Clinical Informatics for IMS Health; Dr. Harlan Levine, Chief Executive at the City of Hope Medical Foundation; And Dr. Michael Shatzelin, Senior Vice President and Group Ministry, executive operations for Ascension Health.
Mary Bekaz, vice president of strategy and chief of staff for value-based care at Conifer Health Solutions moderated the conversation.
- Frankfurt said that hospitals would need to work collaboratively to collect more data addressing micro issues in cost and quality. Most of the benefits, he said, have come due to emergency room visits and low penetration.
- Levine said that too much burden is placed on patients to find a health plan, and consumers are placed in the midst of healthcare to make decisions based on cost. “Patients do not have time to think about which network they should be in”. “When you think of people who are seriously ill, you have to make sure that the pendulum doesn’t swing too far, and you still have to use it for seriously ill people.”
- Schützlein explains what new payment patients need toward a value-based model, as they limit access to certain providers.
- Some patients, Levine said, may benefit more from a meeting with nurse practitioners, and others may save a trip to the doctor’s office Using telemedicine. However, they caution that some initiative of patients is the best service for regular caregivers. Consumer shopping for care can reduce the cost of care, he said, but in more urgent settings or for complex situations, care begins to fragment, placing a burden on the patient.
- When it comes to expansion MedicaidShutzelin, the government’s program for low-income Americans, said the expansion is only part of the solution. Many patients, he explains, will get health care coverage for the first time. So they will need guidance when it comes to using the health care system and finding a medical home. Health care providers, he said, would need to take a proactive approach such as providing transportation.
Levine says providers ultimately understand that the country cannot spend as much on health care as it does. “We don’t need too much cost to keep the patient back,” he said. “We won’t have to incur too much economic cost on medical groups.”