The Overarching Goal Of Health Care

AMT Task 3 Cassandra Davenport ID:000366484 Program: MBA, Healthcare Management, 2/1/14 Mentor: Rusty Lynch 931-580-9182 Chapel Hill, TN Central Time Zone cdaven5@wgu.edu Current National Healthcare Trends and Policy Initiatives Affecting Healthcare Healthcare is in a constant state of change with movements that impact rates, access and quality of care. Hospitals have become more competitive due to the rising cost of care delivery and the reduction in reimbursement from payers. This causes difficulty in delivering quality care to all patients, which is being measured by mandated patient perception surveys, Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). HCAHPS scores are part of value

Having access to quality healthcare is major part of one’s life however the cost of care has been on the rise over the past decades and continue to rise every day due to many situation such

The change to value based purchasing has bought many challenges to the healthcare industry. With the change to value-based purchasing for payments, it has changed how healthcare organization receive payment and delivery care. The advantage of have value based purchasing is that it improves the quality of care while reducing cost in an effort of aligning patient’s with the right provider and treatment plan (Minemyer, Jun 29, 2016). However, there are many disadvantages, such as it increases the patient volume as counteracting the reduction of procedure volume (Brown, B. & Crapo, 2016). Also it makes providers more responsible for care that is beyond the expected treatment of care needed (Minemyer, Jun 29, 2016). With quality measures tied

They will now receive payments from the quality of care they provide to their patients. Those with higher based value will receive higher payments than their counterparts (Berenson 2010). I think this is very important because the healthcare system has been volume driven for so long that quality healthcare has been an issue for quite some time. In addition to value, this would definitely improve quality and efficiency needed for better patient outcomes.

Reading and understanding the information that was given in our text book about transforming the healthcare system for improved quality, rely on enhancing the value on healthcare. Their ideas is to improve healthcare in both financial and clinical aspect that could adjust the quality of healthcare. Meanwhile, if hospitals, doctors, and medical team. improve the value base care, it can or may provide better care, better health and lower cost. According to the Aetna the solution is to provide and deliver better health and more

One major trend in the healthcare environment is the shift from volume based reimbursement towards value based reimbursement. Many provider practices remain on a volume based or fee for service reimbursement plan. This system tends to reward high quantity of services with less regard for the quality or performance of the service. However, with a renewed focus on value, reimbursement plans

Assignment 1: Value Proposition in Patient Care Tabitha Christina Trisvan HSA 501 Management in Healthcare Dr. Judy Jean January 25, 2015 1. The meaning of value-added service Responsible Reform for the Middle Class stated, The Patient Protection and Affordable Care Act will ensure that all Americans have access to quality, affordable health care and will create the transformation within the health care system necessary to contain costs. One part of the transformation is the creation of value proposition. Value proposition is a promise of value to be delivered. Value is defined as “a fair return or equivalent in goods, services, or money for something exchanged; the monetary worth of something; market price; or the

Under payment, an ideal healthcare system will have the challenge of delivering higher quality for lower costs. The system’s payment reform will involve a transition from fee-for-service to global from systems that are value-based important for the achievement of the overall healthcare goals. An ideal healthcare payment system will give a great deal of support to value-driven system of healthcare delivery (Kent, 2013). The fee-for-service payment system will be of great importance to the healthcare system as it will help control the costs of health care.

The introduction of value-based purchasing by the Centers for Medicare & Medicaid Services’ (CMS), implemented a program in which participating hospitals are paid based on the quality of care of the services the patient received (Hospital Value-Based Purchasing, 2015). Therefore, if hospitals want to recoup benefits from Medicare and Medicaid, excellent care and services must be provided.

Introduction There have been overwhelming efforts to better and extend lives in the US. However, evidence indicates that the outcomes can be improved at lower cost. Many models aimed at achieving this are being piloted throughout the country. In addition to testing, some pockets of adoption exist. The dominant payment system for healthcare providers remains and is based on the fee for service which provides little or no support for numerous innovative and personalized services implemented by healthcare providers. Several potential valuable approaches are poorly reimbursed or are not reimbursed at all. Traditional fee for service payments promotes higher volume and the intensity of duty. To support innovative and cheaper care, providers and health plans have started to develop, implement and evaluate different financial reforms that utilize reimbursement. They award value instead of volume to offer providers more support for providing care which enhances higher quality at reduced cost. Parties to the payment agreement set the value based on the assessment of quality, efficiency, and safety. Penalties and rewards are stated, and the client is paid upon reaching or surpassing set targets. This paper looks into value-based reimbursement, based on patients ' surveys and quality scores by maximizing the value for patients (Mcclellan, 2015).

As we move to a value based model in healthcare, it is imperative we contemplate the dilemma of who is the ultimate risk bearer. At the end of the day, that entity should be the one receiving the financial value of our efforts. Presently, the entity holding the financial obligation for paying for services is not the recipient of the saved dollars. This is becoming more prevalent as newer and more expensive treatments are available that impact an illness early in the disease process. One might disagree with the premise that a certain level of healthcare is a right, but we as a nation have effectively made this decision. For instance, deemed as illegal to refuse treatment of emergent care, we do not allow people to die at the footsteps of our

In the traditional volume-based purchasing system, healthcare providers were paid for the quantity of services that they provided. This has incentivized many providers to order more tests and procedures. Value –based purchasing is a way to address rising health care costs, clinical inefficiency and duplication of services, and to improve the quality of health care service.

Assignment 1: Value Proposition in Patient Care T’Keyah K. Murrell - Spencer Dr. Narrad Beharry Management in Healthcare HSA 501 October 23, 2017 Paradise Hospital, Inc. is a for-profit hospital. As the facility’s new hospital administrator, you have been tasked with improving the service value of the hospital. The administration has not done this process since the hospital began operating in the year 1995. The investors are not familiar with the value proposition strategies of hospitals in the current day America.

The new model, which is the value based care was meant to eliminate all unnecessary and costly care, and at the same time enhance the quality of services so, that patients can benefit from their visits to practitioners. Medical institution and physicians would be able to earn their payments based on the quality of their services and patient satisfaction. The new model would benefit patients in most cases because patients will be able to understand the process, take part in decision making regarding planning, and quality of services is guaranteed to be effective and efficient. According to Young, “Various ACA provisions that affect hospitals use a combination of payment reforms to support the intentions of improving patient care quality, decreasing

The positive outcomes that have resulted due to value base programs have caused the model to gain traction and ignite one of the largest changes in history in the health care marketplace. By linking reimbursements to service quality, insurers such as the Centers for Medicare and Medicaid Services have facilitated a massive leap forward in the performance of United States health care providers. This achievement is a considerable accomplishment in the face of an institution that has received reimbursement from insurers via a fee-for-service model during the last 75 years. Soon, valued based payment models will represent the norm as more insurers support initiatives such as shared savings program, integrated clinical care, and accountable care payment models.