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Are ACOs Solution or Bit of Healthcare Dietary fads?

meizitangzisu

meizitangzisu

Are ACOs Solution or Bit of Healthcare Dietary fads?


It's really no secret that the healthcare system within this country needs to go on a diet with regards to costs. Currently, healthcare consumes almost 20% from the U.S. economy. In 1960, back when our healthcare system was more "fit and trim," it just 2 day diet new accounted for 5% from the U.S. economy. If this trend continues, healthcare will make up 100% from the U.S. economy when my children would be eligible for a Medicare. Needless to say, it's time to use a diet!

There has been a great deal of talk lately about Accountable Care Organizations (ACOs) and just how they will be the solution to our healthcare cost problems. Now don't get me wrong, there are some excellent ideas and ideas associated with ACOs, but simply like dietary fads, they are not the simple means to fix a very difficult problem. How many times perhaps you have seen a friend or family member who's sure that they will be able to slim down and it off if they just give up all carbs or simply eat popcorn or just stick to the all liquid diet or any one of other long list of dietary fads? How many of those people saw early encouraging results simply to gain back all of that weight when the returned for their old eating and lifestyle patterns? The issue is that slimming down - much like reducing healthcare costs - is hard as well as fundamental, ongoing change. There isn't any quick fix and there's no smart way around it.

Individuals don't become obese overnight, which healthcare system didn't develop its current problems overnight either. This means that the solutions will not be easy, and they won't come from simply forming an ACO, having some meetings and praying to find the best. It takes hard work, a lot of effort along with a very long time.

I am not stating that the ACO movement is bad, but I am warning that it's not really as easy as most would probably assume. True cost control must involve a number of variables at a fundamental level.

Physicians should be at the center associated with a change. This problem won't be solved by governments, insurance providers or hospital administrators. They need to be involved with the change, but only inside a supporting role. True change must involve the people who understand healthcare probably the most and who not just see the waste within the system, but could do something about it. Yes, I'm talking about doctors. Without physicians at the center of this change, it's as doomed to failure as my brief test out the "all ice cream" diet.
Change cannot be driven on the backs of physicians. We've significant data that shows physician income has not kept up with general inflation. We also realize that most physicians report working longer hours than in the past, and also the famous timesaving invention - the electronic health record - has failed on its promise to create doctors' lives better. Enough is enough. Physician earnings are not the issue with this healthcare costs within this country, and we simply can't balance this account lying on their backs. We want a simple change in how care is sent to reduce costs, however it needs to be refrained from negatively impacting their incomes.
We need a simple change in the way we pay physicians and just what we outlay cash for. Brand new concepts like patient management and population health management need to be developed. We must transition from paying doctors to complete and fix, and begin paying them to manage. All of this needs to be implemented in a way that physician incomes don't decrease.
Physicians have to be protected from frivolous litigation so that they don't have to practice defensive medicine. Enough said.
Society needs to do its part. We can't keep individuals this society insulated using their own bad choices. Should you speed, your auto insurance rises. Should you smoke, your life insurance goes up. Without having smoke detectors within your house, your home insurance rises. Why then, shouldn't your health insurance increase if you are an overweight smoker who won't try to lose weight or stop smoking? Society needs to step up and do its part so we aren't just trying to battle diseases like diabetes or coronary disease with pills and operations.
Given that very few of these five merchandise is becoming done, what exactly are physicians to do in the interim? Since I don't think the "stick your head within the sand" strategy is a high quality one, physicians need to get involved, but do so using their eyes wide open. Listen to your hospital when they are referring to an ACO. Engage the payers in discussions about alternative payment mechanisms. Speak to your patients about how exactly they are able to help manage their. Talk to politicans about how exactly they can help. Make sure you've good business and analytical assist 2 day diet strong with this journey. In a nutshell, do what you could to steer this change within the direction it needs to go rather than just sitting back and watching what goes on.

We all know that situations are likely to change. They have to. What we do not know is when they are going to change. Remember, if you don't like change, you'll like irrelevance even less.

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+ نوشته شده در سه شنبه 25 شهريور 1393ساعت 15:28 توسط meizitangzisu | تعداد بازديد : 103 | |