Delivery system reorganization to bring down costs

Discussion in 'Healthcare/Insurance/Govt Healthcare' started by Greenbeard, Nov 1, 2010.

  1. Greenbeard
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    Greenbeard Gold Member

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    Today the Boston Globe had an interesting story about a major provider system in Massachusetts:

    Why reorganize the way it does business to reign in costs now?

    Bundled payments, an example of payment reform. This, of course, is one of many examples of the kind of things in ACA that are going to be really important in the long-term. Changing the way we pay for and deliver health care is crucial going forward if we want to get serious about improving quality and containing costs.

    Good for those who are getting started early.
     
  2. Oddball
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    Oddball BANNED Supporting Member

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    All hail Fabian socialist central planners! :rolleyes:
     
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  3. Trajan
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    Trajan conscientia mille testes

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    I am booking your flight to re-education camp as we speak....you bourgeois bombast!!!!!!!!
     
  4. uscitizen
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    uscitizen Senior Member

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    Many medical costs are there because if they do the procedure they get paid for it. Paid either by insurance or the govt.
     
  5. Oddball
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    Oddball BANNED Supporting Member

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    Right...Perish the thought that someone actually pay out of pocket for any of their medical expenses. :rolleyes:
     
  6. Trajan
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    Trajan conscientia mille testes

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    changing your avatar won't save you.....we know where your family lives and that pappa has gout!!!!!!!
     
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  7. Greenbeard
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    Greenbeard Gold Member

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    Indeed. Volume-based payment encourages volume. Hence the introduction of episode-based payment, which is intended to be a sort of medium between that kind of fee-for-service and outright capitation.

    But the really significant thing here isn't just a shift away from overutilization or overtreatment (since Partners isn't getting bundled payments yet), it's the actual reorganization of care delivery. That's a step--and I'm sure it will be shaky--toward integrated, patient-centered care delivery, which is the future of the health care system. And that's exciting
     
  8. Meister
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    Meister Platinum Member Supporting Member

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    Translation: Once the Government has full control.
     
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  9. Dr.House
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    Dr.House Lives on in syndication!

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    Well, government knows best when it comes to your healthcare....
     
  10. uscitizen
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    uscitizen Senior Member

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    Of course everyone has 5-10K just lying around for a day or two's hospital stay.

    One of my sisters just had a hysterectomy this past summer. 2 days and 45K later....
    Luckially she has insurance or she would be homeless now.
     
    Last edited: Nov 1, 2010

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