The International Handbook of Healthcare Value How Self-Insured Employers and State Can Manage Quality and Costs |
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| Author:
| Mohlenbrock, Bill |
| ISBN: | 979-8-8430-4140-3 |
| Publication Date: | Aug 2022 |
| Publisher: | Independently Published
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| Book Format: | Paperback |
| List Price: | USD $19.95 |
Book Description:
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International Handbook of Healthcare Value: Technology and Process Improvements that define Healthcare Value Value-based healthcare delivery is desperately needed but has yet to be implemented for the inpatient sector, where the most significant resources are expended. High-quality and cost-efficient bases of care delivery are critical to restoring the patient-physician relationship and integrity of international healthcare systems. The quality and cost problems are real,...
More Description International Handbook of Healthcare Value: Technology and Process Improvements that define Healthcare Value
Value-based healthcare delivery is desperately needed but has yet to be implemented for the inpatient sector, where the most significant resources are expended. High-quality and cost-efficient bases of care delivery are critical to restoring the patient-physician relationship and integrity of international healthcare systems. The quality and cost problems are real, and the solutions are readily available using the Medical Value Solutions' (MVS) technologies and process improvement techniques. The future can be oriented toward a healthcare system in which technology facilitates patients' clear understanding of their health status and the objective measures of quality and price that define medical care are established.
The scarcity of reliable and interpretable medical information is at the center of our society's healthcare cost and quality problems. Unlike other industries, healthcare lacks the objective measures that define the quality of its products and services. Consequently, third-party entities erroneously assume that all providers are equal and therefore "manage" care by directing patients to unfamiliar providers solely based on the perceived lowest price. However, in medicine, as in all other industries, the price has no meaning without a measure of quality for the product or service being delivered.
Distrust among employers, providers, alienated patients, and chaos in the system are the unintended consequences of price-based healthcare contracting. Price-based contracting has created a bizarre triad of 1. Excessive profits for insurance and managed care companies that do not deliver care; 2. Declining or insufficient funding for providers who are trained and dedicated to delivering quality care; and 3. Diminishing access, coverage, and services for patients who need care.
The solution for an effective healthcare system must be founded on fully informed patients and rational incentives where public and private purchasers contract for services on established measures of quality and price. When purchasers and patients have reliable information that can knowledgeably select and reward providers who demonstrate superior performance, effective and efficient healthcare will be the norm.
Due to modern computing technology, objective quality measurement is no longer a "soft" medical science. Large inpatient data sets have been used to develop statistical algorithms with which physicians utilize their clinical data to reduce variations and improve medical and financial outcomes. These outcomes are the basis of medical value, and ACT's Medical Value Solution as described in the International Handbook of Healthcare Value and is ready to facilitate physicians' clinical and financial outcome improvements.
Objective comparisons of hospitals' and physicians' outcomes are demonstrated to establish regional value-based provider networks that are the basis of successful medical tourism initiatives.