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Related Concept Videos

Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Decision Making: P-value Method01:09

Decision Making: P-value Method

The process of hypothesis testing based on the P-value method includes calculating the P- value using the sample data and interpreting it.
First, a specific claim about the population parameter is proposed. The claim is based on the research question and is stated in a simple form. Further, an opposing statement to the claim  is also stated. These statements can act as null and alternative hypotheses:  a null hypothesis would be a neutral statement while the alternative hypothesis can have a...

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Related Experiment Video

Updated: Jul 17, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Shifting the focus from cost to value: a private payer perspective.

Dexter W Shurney1

  • 1Healthways, Inc., 3841 Green Hills Village Dr., Suite 300, Nashville, TN 37215, USA. Dexter.Shurney@healthways.com

Journal of Managed Care Pharmacy : JMCP
|February 6, 2007
PubMed
Summary

Commercial payers are integrating value into healthcare by focusing on chronic diseases, wellness, and patient-centric care. Technology and data integration are key to improving efficiency and reducing costs.

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Last Updated: Jul 17, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Area of Science:

  • Healthcare Management
  • Health Economics
  • Value-Based Care

Background:

  • Traditional healthcare models primarily address chronic diseases.
  • Payers are expanding focus to wellness and high-risk case management.
  • Commercial payers are exploring value-based care initiatives.

Purpose of the Study:

  • To examine challenges and advancements in commercial payers' value-based healthcare strategies.
  • To utilize a disease and medication management provider as a case study.
  • To identify opportunities for incorporating value into healthcare plans.

Main Methods:

  • Analysis of a commercial disease and medication management provider's model.
  • Review of current trends in payer-driven healthcare initiatives.
  • Exploration of technological integration in patient care.

Main Results:

  • Technology is essential for patient outreach, data capture, and data integration.
  • Integrating medical and pharmaceutical data enhances efficiency for chronic disease management.
  • A shift from disease-centric to patient-centric models is occurring.

Conclusions:

  • Incorporating value into healthcare, while challenging, ultimately reduces costs.
  • Patient-centric approaches empower individuals as partners in their own health.
  • Effective data integration and technology are crucial for modern healthcare delivery.