Promising Care: How We Can Rescue Health Care by Improving It collects 16 speeches given over a period of 10 years by Donald M. Berwick, an internationally acclaimed champion of health care improvement throughout the course of his long and storied career as a physician, health care educator and policy expert, leader of the Institute for Healthcare Improvement (IHI), and administrator of the Centers for Medicare & Medicaid Services.
"The president's budget directly counteracts the administration's efforts to reduce healthcare costs and encourage advanced manufacturing in communities across our country by instituting a burdensome prior authorization system," said MITA Executive Director Gail Rodriguez. "Inserting a bureaucratic middleman between physicians and patients will limit seniors' access to diagnostic services, while resulting in wasteful healthcare spending and fewer investments in research and development."
Larger organizations have greater market power to demand higher prices from those plans for doctor visits and hospital stays. And higher prices paid by plans translate into higher premiums for consumers.
"As American hospital operators consolidate, medical-device companies can no longer woo individual doctors over filet mignon, but must present their wares to skeptical, centralized hospital bureaucracies."
Barr introduces readers to broad cultural issues surrounding health care policy, such as access, affordability, and quality. He discusses specific elements of U.S. health care, including insurance, especially Medicare and Medicaid, the shift to for-profit managed care, the pharmaceutical industry, issues of long-term care, the plight of the uninsured, medical errors, and nursing shortages. The latest edition of this widely adopted text updates the description and discussion of key sectors of America’s health care system in light of the Affordable Care Act.
There are just some things that are incompatible – like oil and water, communism and capitalism. We may be finding out that ACA’s goal to reduce healthcare costs and the consolidation of providers that is occurring because of the law may be two such incompatible things as well. Several studies are showing that the large, integrated healthcare systems are using their size and influence to drive out completion and set reimbursement rates with insurance companies.
“The majority of hospitals and health systems are seeing a flattening of their inpatient volumes,” said Jeff Jones, a managing director for Huron Consulting Group. “Some are beginning to see a sustained decline." With so many major Healthcare IDN's experiencing dramatic revenue decreases costs, both operational and capital expenditures are being cut. If you aren't providing cost savings solutions to your healthcare customers you won't be in business much longer.