Pay for performance, also referred to as incentive pay or P4P incentive programs are designed to overcome the limitations of current reimbursement arrangements by aligning financial reward with improved outcomes. These idioms pertain to health care payment systems that reward health care providers for their efficiency. Under the current mode of operation, providers are paid for each service performed, giving our health care providers the financial enticement to perform as many services as they possibly can. This can possibly lead to abuse in over prescribing medication and ordering unnecessary testing. By adopting a pay for performance stance on impacting the preventative side of health care, a substantial savings in rising health care costs may be met.
I am not saying that the bill will not work or that it is not needed, I just believe that more effort and thought should have gone into the proposed plan and what implications it has on all involved before trying to go live with coverage. I guess like everything else, time will tell the overall effectiveness and benefit of Obama Care and will show if it has made us better and more compassionate for those who are less fortunate or has had the opposite effect and has done more damage than good to an already unstable health care industry. References Bailey, L. (2008). Obama and McCain on Health Care Reform. Business & Economic Review, 55(1), 24-29.
Because there have been a multitude of different models of pay-for-performance, prominent examples can show how these strategies will affect the provider’s reimbursement. The Accountable Care Organization (ACO) is one of the best known programs under the pay-for-performance model. Providers in the ACO “agree to coordinate care are to be held accountable for the quality and costs of the services they provide” (James, 2012, pg. 3). The value-based purchasing rewards hospitals for their performance based on quality measures, which means that the hospital will be rewarded as it positively deviates from the baseline.
Health care marketing, the process of assessing people’s wants and needs, and the developing products or services to meet those want and needs (Berkowitz, 2006). The marketing strategy plans play vital roles in the Cone Health system. The four P’s of marketing strategy are product, price, place, and promotion. The reputation of Cone Health Cancer Center not only attract new customer but also brings in profits for the organization. Health care in today’s marketing is rapidly changing to meet the customer’s needs.
“A critical communication tool that can help during briefing and debriefings is the SBAR tool. Standing for Situation, Background, Assessment, Recommendation, this structured communication technique is used to standardize communication between two or more people. It helps set the expectation within a conversation that is specific, relevant, and critical informational elements are going to be communicated every time a patient is discussed(Leonard, 2011, p.5). Communication is an important part of any interdisciplinary team and can help reduce the dropped information that can occur during handoff. The dropped information could be valuable information needed in the safe and effective care delivered to a patient.
This allows for easy decisions to be made by doctors and patients when procedures need to be done and help to better predict the outcomes. “Communicating that information for care coordination processes.” (Meaningful Use, 2013) This part of the process seems so simple but is one of the major drivers of Meaningful Use. Exchanging paper information takes a lot of time, is inaccurate and waste time and money. EMR will be transferred with the click of a mouse, will be complete and accurate. This will also allow for more patient interaction in the health care process.
Vertical integration ensures efficiency, offer seamless continuum care, and assume responsibility for health of local populations (Thaldorf & Liberman, 2007). Virtual integration of health care organizations has positive impacts to health care delivery because it allows for seamless sharing of information, which is essential for improving the health and health care of Americans. Virtual integration allows health care organizations to share new information technology to help enhance the level of service
It is not a place to die but instead a place that promises and delivers renewal and improved health for many diseases. Due to the success of modern healthcare and advanced technology, patients have high hopes of what hospitals can accomplish. Therefore, hospitals and medical staff should honestly present the burdens and benefits of care at end of life. With this information patients and their surrogate decision makers can make meaningful personal choices”. Communication regarding end of life often occurs late in the process or disease progression.
This leave little room for doctor’s to spend time at the bedside of their patients. As frustrating enough as it is for doctors, it will be even more frustrating for patients who will be facing limited access and choice. The P.P.A.C.A is certainly bad for doctors, but it is the patients who suffer the most (n. d.). My overall opinion on the Patient Protection and Affordable Care Act is that it will be beneficial to Americans today, tomorrow, and years to come. The reason I say this is because families now have the option to keep their children on their insurance up to age 26.
676 introduce plans to provide health care for all, give consumers the most choices, provide strong health coverage and saves money for government, business and individuals. Unlike the Medicaid program that depends partially on state funds for financing of benefits, national health care would be supported by the full faith and backing of the government. Universal care would cover those now uninsured; however, it is yet to be proven to be cheaper or more effective than our current