Subscribe to RSS

Healthcare 2015 and U.S. Health Plans

The environment in which U.S. health plans operate is fundamentally changing as the healthcare system struggles to address ever increasing cost, quality and access pressures. U.S. healthcare expenditures per capita are 2.3 times higher than that of other developed countries and are projected to increase 83 percent over the next ten years.

Despite this spending, there are quality concerns. For example, medical errors cause between 48,000 and 98,000 patient deaths each year3 and medication errors cost over US$3.5 billion annually. There are also significant access issues as 47.0 million Americans are uninsured and an additional 15.6 million are under insured for catastrophic healthcare expenses.  Although cost, quality and access issues are not new in the U.S., we believe today’s healthcare environment has fundamentally changed, and, more importantly, is unsustainable.

As documented in “Healthcare 2015: Winwin or lose-lose?,” five factors – globalization, consumerism, aging and overweight populations, diseases that are more expensive to treat, and new medical technologies and treatments – are exacerbating cost, quality and access pressures.

Change will not come easily, though, given the inhibitors to transformation – funding constraints, societal expectations and norms, a lack of aligned incentives, the inability to balance short-term and long-term perspectives, and the inability to access and share information.In this prior paper, we also identified three prescriptions for healthcare systems – transforming value, transforming consumer responsibility and transforming care delivery – in order to help countries remain competitive in a global economy.

 

 

 

 

 

 

Other articlesgo to homepage

Physician Compensation: How Medicare Reporting May Create Risk

Physician Compensation: How Medicare Reporting May Create Risk

Contributed by Ike Devji, J.D., Asset Protection & Wealth Preservation Attorney for Business Owners and Physicians and contributor of  PhysicianPractice.com. For years, compensation issues have been a key concern for many doctors I work with nationally, as compensation rates have steadily declined. Today I will discuss what doctors in various specialties are actually making, how

Publication Impact Report for Hospitals and Health Systems

Publication Impact Report for Hospitals and Health Systems

Price: Complimentary Published by:  Krames Staywell  

Rethinking Value Delivery In Health Plan Operations

Rethinking Value Delivery In Health Plan Operations

The state of operations at most health plan organizations is one of upheaval. Most would agree that substantial change and stamina are needed for a healthy tomorrow.  In the course of interacting with dozens of health plan operations executives, we have listened to and discussed many of their most pressing challenges brought about by healthcare

Reduce Re-hospitalization Rates

Reduce Re-hospitalization Rates

Reimbursement cuts are coming to the worst performing hospitals in October of this year – and they’re turning to post-acute partners to help get readmissions under control.  Post-acute providers that fail to help hospitals address readmissions will see census dwindle. Results from CMS pilot programs suggest that 20% to 50% of hospital readmissions are preventable

Health Care Social Media: Getting Executives on Board

Health Care Social Media: Getting Executives on Board

Among health care marketing/communicationsprofessionals, there is a gut-level recognition that social media are an important part of a marketing mix. Yet, when it comes to pitching social media to the “c-suite,” it can be challenging to clearly quantify impact and return on investment (ROI). If you are still in the early stages of implementing your

read more

Categories

banner






Contacts and information

HealthExec Today is an affiliate of MedMarket Intelligence, LLC, a health care solutions organization. For information on our other news resources, visit: http://www.MedMarketIntel.com

Social networks

Most popular categories

Buy This Theme
© 2011 Gadgetine Wordpress theme by orange-themes.com All rights reserved.
Powered by WishList Member - Membership Software