The Developing Trends of Healthcare Delivery in the US

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Healthcare Delivery This essay examines developing trends in healthcare delivery in the U.S. Until recently, organizations were paid on the basis of transactions, that is, by visits or by procedures. In some markets, however, new payment models are emerging that, instead, base payments on producing outcomes. This transition will no doubt be complex and challenging. Catalysts for this monumental change include the problems inherent in fee-for-service medicine. Escalating health care costs as well as the recession have combined to increase pressure for cost savings. There are two possible resolutions to these challenges: either providers are paid less for transactions under the fee for service model, or they are paid differently. Providers must then also be concerned with payment reform (Bohmer and Lee). Momentum to change to a new payment model is already building. Government purchasers of healthcare and employers are not satisfied with paying for ever-growing service volumes unless they are accompanied by similar increases in benefits to patients. This creates demand for a new payment system, one which has started evolving (Bohmer and Lee). Under the new system hospitals are incentivized to bring down readmissions. Pay-for-performance incentives have also been introduced by some provider systems that are based on clinical outcomes, as opposed to process goals. Other provider systems offer bundled payments requiring that hospitals and physicians share a case rate for a
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