According to a recent FierceHealth article, hospital executives’ top concern in 2014 was how to meet the financial challenges associated with running their businesses. These findings were reported from the results of an annual survey conducted by the American College of Healthcare Executives (ACHE).
The Cureatr Blog
Monthly Archives: January 2015
There is a fundamental and significant change coming in the manner in which Medicare will pay hospitals and doctors for their services. This new payment model will be based on quality of care as opposed to the older, volume-based methodology. According to an Associated Press story this week that was reported in USA Today, Modern Healthcare and other major news media, President Barack Obama has said he hopes this shift in the Medicare reimbursement model will be a catalyst for improving spending in the nation’s $3 trillion healthcare system. The administration also wants state Medicaid programs to join the payment-for-quality initiative.
For years we have known about the negative impacts to cost and quality of care relating to lack of continuity between different providers, unnecessary costs from redundant tests and treatments, and substantial differences in care practices that yield significant variation across the healthcare system. New care coordination strategies are needed that facilitate and improve collaborative care and help payers with proactive care planning, enhanced communications and follow-up which will improve health outcomes, while reducing costs for their covered lives.
Ideal care management should be an evenly balanced win-win in health care – a way to ensure patients receive the most appropriate medical services based on their individual maladies while also guarding against abusing the healthcare system and practicing overly defensive medicine. Why then do care managers often report such difficulty in navigating the system on behalf of their patients?