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Related Concept Videos

Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
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...
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...
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...
Integrated Healthcare System01:20

Integrated Healthcare System

An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
Healthcare Agencies I01:18

Healthcare Agencies I

Healthcare agencies provide healthcare services to people. In the United States, voluntary agencies are often non-profit centers sponsored by donations, grants, or fundraisers. One such organization is Meals on Wheels, which provides meals to the elderly and homebound. The American Heart Association and the American Lung Association are other non-profit community organizations. Doctors and nurses are frequently active members of these organizations, which offer health checks and educational...

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Related Experiment Videos

Is your organization ready for value-based payment?

Martin J D'Cruz1, Terri L Welter

  • 1St. Vincent Health, Indianapolis, IN, USA. mjdcruz@stvincent.org

Healthcare Financial Management : Journal of the Healthcare Financial Management Association
|January 22, 2010
PubMed
Summary

Healthcare finance leaders must prepare for value-based healthcare reform by assessing integration, risk, and pricing skills. They should also understand new payment models and improve transparency in quality and pricing data.

Related Experiment Videos

Area of Science:

  • Healthcare Finance
  • Health Policy
  • Value-Based Care

Background:

  • Healthcare systems are transitioning towards value-based care and payment reform.
  • Existing financial and operational models require adaptation to meet new demands.
  • Proactive preparation is crucial for financial leaders to navigate these changes.

Purpose of the Study:

  • To outline key strategies for healthcare finance leaders to prepare for value-based healthcare reform.
  • To identify essential competencies and actions required for successful adaptation.

Main Methods:

  • Review of current value-based payment models under consideration.
  • Analysis of organizational competencies in integration, risk management, and pricing.
  • Assessment of transparency in quality and pricing data.

Main Results:

  • Healthcare organizations need to evaluate their capabilities in integration, risk management, and pricing.
  • Understanding emerging value-based payment models is essential.
  • Enhancing transparency in quality of care and pricing is a critical step.

Conclusions:

  • Healthcare finance leaders must proactively assess and enhance organizational competencies.
  • Active involvement in quality data measurement and publication is necessary.
  • Establishing contracting priorities based on stakeholder input is vital for success.