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Related Concept Videos

Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

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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...
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Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

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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...
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Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

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Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
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Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

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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...
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Patient-centered Care01:13

Patient-centered Care

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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...
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Integrated Healthcare System01:20

Integrated Healthcare System

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

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Medicare Payment Reform: Aligning Incentives for Better Care.

Gerard F Anderson1, Karen Davis, Stuart Guterman

  • 1Center for Hospital Finance and Management, Johns Hopkins University Bloomberg School of Public Health. ganderso@jhsph.edu

Issue Brief (Commonwealth Fund)
|July 9, 2015
PubMed
Summary

The Affordable Care Act (ACA) enhances Medicare quality and efficiency through innovative payment models. Value-based care strategies aim to improve patient outcomes and reduce healthcare spending for beneficiaries.

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Area of Science:

  • Health Policy
  • Healthcare Management
  • Public Health

Background:

  • The Affordable Care Act (ACA) introduced new tools to enhance Medicare's quality of care and operational efficiency.
  • The Center for Medicare and Medicaid Innovation (CMI) was established to develop and test innovative care models.
  • A key initiative aims to tie 85% of traditional Medicare payments to quality or value by 2016 and 90% by 2018.

Purpose of the Study:

  • To explore the evolution of Medicare payment policy.
  • To assess the potential of value-based payment models in improving beneficiary care and achieving cost savings.
  • To identify strategies for accelerating the adoption of value-based payment.

Main Methods:

  • This issue brief analyzes Medicare payment policy evolution.
  • It examines the impact of the ACA on Medicare quality improvement initiatives.
  • The study reviews strategies for value-based payment adoption.

Main Results:

  • The ACA provides mechanisms for improving Medicare quality and efficiency.
  • Value-based payment models show potential for enhancing care and reducing costs.
  • Accelerating adoption requires strategic implementation.

Conclusions:

  • The ACA's initiatives, including value-based payment, are pivotal for Medicare's future.
  • Continued focus on quality and value is essential for beneficiary care and financial sustainability.
  • Strategic approaches are necessary to maximize the benefits of these reforms.