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Related Concept Videos

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...
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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,...
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Methods of Documentation VI: Case Management Model

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Secondary Healthcare System01:11

Secondary Healthcare System

Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Published on: February 16, 2011

When a health system develops its own road map.

Keith D Moore1, Katie Eyestone, Dean C Coddington

  • 1McManis Consulting, Denver, USA. kmoore@mcmanisconsulting.com

Healthcare Financial Management : Journal of the Healthcare Financial Management Association
|February 19, 2013
PubMed
Summary
This summary is machine-generated.

This guide outlines key steps for health systems transitioning to value-based payment models. It emphasizes strategic assessment, financial preparation, and phased implementation of new care strategies for successful adoption.

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Area of Science:

  • Health systems management
  • Healthcare economics
  • Healthcare policy

Background:

  • The healthcare industry is shifting from fee-for-service to value-based payment (VBP) models.
  • Health systems face significant challenges in adapting to these new financial and operational paradigms.
  • A clear roadmap is needed to guide organizations through this complex transition.

Purpose of the Study:

  • To provide a strategic framework for health systems undergoing a transition to value-based payment.
  • To identify critical considerations and actionable steps for successful VBP implementation.
  • To offer guidance for navigating the complexities of value-based care adoption.

Main Methods:

  • The study outlines a hypothetical transition process for a typical health system.
  • It details a phased approach, starting with foundational assessments and progressing to advanced implementation strategies.
  • Key considerations include strategic review, financial planning, and operational adjustments.

Main Results:

  • Successful transition requires a thorough review of the current environment and existing strategies.
  • Building essential operational "building blocks," establishing financial reserves, and refining performance metrics are crucial.
  • Phased implementation involves testing VBP contracts, aligning incentives, and adopting new care management approaches.

Conclusions:

  • The transition to value-based payment is a multifaceted process unique to each health system.
  • A systematic approach involving strategic assessment, financial readiness, and adaptive implementation is essential.
  • Effective communication and stakeholder alignment are vital throughout the transition journey.