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Author: George Mayzell, MD, MBA, FACP
Publisher: CRC Press
ISBN: 1466504773
Category : Business & Economics
Languages : en
Pages : 151
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Book Description
Through healthcare reform, payment modifications, transparency, and a renewed focus on value, the healthcare industry is changing its organizational structure from one of a multitude of individual entities to one of a system-of-care model. This restructuring and subsequent alignment of information presents new risks and opportunities for physicians, hospitals, and other healthcare providers. Emphasizing effective interactions between physicians and the health system, Physician Alignment: Constructing Viable Roadmaps for the Future examines the different ways physicians and hospitals can create systems to not only survive, but thrive through the changes facing healthcare. It draws on experienced authors in the area of physician purchasing to explain the various integrative models for physicians and hospitals. Provides an accessible introduction to the different types of healthcare delivery models Covers the various types of integration—starting with the simplest and evolving into full employment models with full integration Includes helpful information for doctors considering a transition to physician employment Highlights emerging trends in healthcare Explaining how these systems should be constructed and aligned, the book provides healthcare organizations with a roadmap for planning for the future. The book concludes with a chapter on accountable care organizations and patient-centered medical homes that moves from the conceptual to administrative embodiments of the principles of an integrated health system as we now know it.
Author: George Mayzell, MD, MBA, FACP
Publisher: CRC Press
ISBN: 1466504773
Category : Business & Economics
Languages : en
Pages : 151
Get Book Here
Book Description
Through healthcare reform, payment modifications, transparency, and a renewed focus on value, the healthcare industry is changing its organizational structure from one of a multitude of individual entities to one of a system-of-care model. This restructuring and subsequent alignment of information presents new risks and opportunities for physicians, hospitals, and other healthcare providers. Emphasizing effective interactions between physicians and the health system, Physician Alignment: Constructing Viable Roadmaps for the Future examines the different ways physicians and hospitals can create systems to not only survive, but thrive through the changes facing healthcare. It draws on experienced authors in the area of physician purchasing to explain the various integrative models for physicians and hospitals. Provides an accessible introduction to the different types of healthcare delivery models Covers the various types of integration—starting with the simplest and evolving into full employment models with full integration Includes helpful information for doctors considering a transition to physician employment Highlights emerging trends in healthcare Explaining how these systems should be constructed and aligned, the book provides healthcare organizations with a roadmap for planning for the future. The book concludes with a chapter on accountable care organizations and patient-centered medical homes that moves from the conceptual to administrative embodiments of the principles of an integrated health system as we now know it.
Author: Arthur M. Feldman, MD, PhD
Publisher: CRC Press
ISBN: 1466516798
Category : Business & Economics
Languages : en
Pages : 225
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Book Description
After nearly a year of debate, in March 2010, Congress passed and the president signed the Patient Protection and Affordable Care Act to reform the U.S. health care system. The most significant social legislation since the civil rights legislation and the creation of Medicare and Medicaid, the bill‘s passage has been met with great controversy. Pol
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309113695
Category : Medical
Languages : en
Pages : 202
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Book Description
Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.
Author: John I. Allen
Publisher: Elsevier Health Sciences
ISBN: 1455742813
Category : Medical
Languages : en
Pages : 167
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Book Description
As the National Quality Advisor and Chair of the AGAI Clinical Practice and Quality Management Committee, Dr. Allen, along with Dr. Delegge, have created a very insightful list of topics to educate gastroenterologists about how to adapt to health care reform. The issue addresses the impact in both private practices and academic medical centers. Specific issues discussed include Gastroenterologists and Accountable Care Organizations; Health Information Technology and the Gastroenterologist; Transitioning from Fellowship to Practice 2012; Going Big in Private Practice; Clinical Service Line Management; The Impact of Health Reform on GI Reimbursement; The Impact of Health Care Reform on Innovation and New Technology; Industry and Gastroenterology: A New World; and Demonstrating Value: Registries and Beyond.
Author: Emad Rizk
Publisher: HC Pro, Inc.
ISBN: 1601463189
Category : Medical
Languages : en
Pages : 145
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Book Description
The New Era of Healthcare: Practical Strategies for Providers and Payers Emad Rizk, MD Increased collaboration between providers and payers has the potential to reduce costs, improve processes, and enhance patient care. But a gulf between the two groups does the reverse--it leads to more expense and inefficiency in healthcare. The New Era of Healthcare: Practical Strategies for Providers and Payers focuses on methods to forge a partnership between the two groups. This book contains actionable strategies to develop a relationship of mutual understanding between payers and providers. The result is an alignment of clinical, administrative, and economic areas in which more efficient, cost-effective care is provided to the patient. Case studies demonstrate how the payer/provider relationship can actually benefit both sides. For example, in Mississippi, a Medicare program successfully signed up 40% of primary care physicians by clearly explaining the program that targeted at-risk poor, rural patients. Face-to-face group meetings helped win physician support, and with physicians on board, patients were more apt to take part in the program. Dr. Emad Rizk of McKesson Health Solutions provides practical examples to illustrate successful working relationships between payers and providers. This book will help enable readers to: Develop physician buy-in Impact healthcare at the local and regional level, where the majority of care in this country originates Establish portals that allow for information sharing between payers and providers Create incentive-based payment programs that engage rather than penalize physicians Fund electronic health records that provide access for the patient, physician, and health plan Streamline administrative processes and allowing for electronic claims processing The New Era of Healthcare: Practical Strategies for Providers and Payers is ideal for those employed by health plans, disease management providers, and physician practices, which are looking for cutting edge strategies that result in better outcomes, lower costs, and enhanced patient care. The strategies outlined in this book will benefit executives who have the ability to affect change in their organization. Take a look at the table of contents: Chapter 1: Why Payers and Providers Are Disconnected Chapter 2: What Is Needed: Three Types of Alignment Chapter 3: Getting Started: Creating a Pilot Project Chapter 4: Tools to Support Collaboration Chapter 5: Leading a Successful Partnership Chapter 6: Clinical Processes for Greater Cooperation Chapter 7: Economic Alignment: The Right Incentives Chapter 8: Achieving Administrative Alignment Chapter 9: A Model for Care in Pennsylvania Chapter 10: The Future for Payers and Providers
Author: Leonard H. Friedman
Publisher: Emerald Group Publishing
ISBN: 1783507160
Category : Medical
Languages : en
Pages : 232
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Book Description
This volume will interest healthcare researchers and health system designers alike. It revisits the evolution of health systems organization in light of regulatory and organizational evolution in health care, as well as assessing the latest evidence on physician integration, complexity, and system redesign.
Author: Robert James Cimasi
Publisher: CRC Press
ISBN: 1482219093
Category : Business & Economics
Languages : en
Pages : 381
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Book Description
An accountable care organization (ACO) is a healthcare organization characterized by a payment and care delivery model that seeks to tie provider reimbursements to quality metrics and reductions in the total cost of care for an assigned group of patients. Accountable Care Organizations: Value Metrics and Capital Formation explores the historical ba
Author: Michael S. Lawson Mba
Publisher: AuthorHouse
ISBN: 1452092893
Category : Business & Economics
Languages : en
Pages : 110
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Book Description
This book is for average Americans who want to improve their life; the corporation that is preparing for or preventing turbulent times; the CEO who is leading a turnaround of his or her company; and the healthcare executives that are preparing for upcoming healthcare reform. We must be prepared to deal with these challenges. This book is about being more prepared to effectively lead change and adapt in turbulent times related to personal and corporate health as well as business relative organizational development and transformation. The goal is to land safely and be stronger to handle change in the future.
Author: Jonathan Burroughs
Publisher: ACHE Management
ISBN: 9781567936810
Category : Medical
Languages : en
Pages : 0
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Book Description
Winner of the 2016 ACHE James A. Hamilton Book of the Year Award Healthcare organizations are facing many challenges in this new era of healthcare reform, one of which is to establish a new operating model for the organized medical staff. Deeply rooted in tradition, the current medical staff model can no longer hold in an environment where quality, safety, service, and cost-effectiveness are required for healthcare organizations to not only survive but truly thrive. In this book, the author, an experienced physician leader and healthcare consultant, describes key changes that must be made to redesign the medical staff model. He provides specific guidance and examples to help healthcare leaders and executives work with their physician leaders to face these changes successfully. Well-regarded contributors and subject matter experts offer additional examples and insights with special content throughout the book. The author provides an in-depth look into: The evolution of the physician culture from autonomy to collaboration and accountability that must take place for US healthcare providers to remain competitive in an increasingly global economy Select strategic medical staff development planning and credentialing/privileging approaches that are needed to ensure physician-organization alignment Components of an effective and rigorous performance management system that enables leaders to help physicians achieve mutually agreed-on goals and metrics and align them with those of the organization Medical staff performance assessment and improvement activities, including peer review best practices, ways to incentivize excellence, and how to address issues in a timely, compassionate way Negotiation of performance expectations with management and the hospital's board that are consistent with the organization's strategic plan Physician engagement and alignment strategies that will enable physicians and management to work together to achieve the goals of population health and reduced operating costs Healthcare executives and administrators, physician executives, and board leaders can use this book as a guide to learn from organizations that have successfully integrated and aligned with their medical staffs into a collaborative environment. Examples of organizations with medical staffs that have made a complete commitment to the success of their enterprises and the health of their communities are incorporated throughout the book.
Author: Maria K. Todd
Publisher: CRC Press
ISBN: 1439813094
Category : Business & Economics
Languages : en
Pages : 254
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Book Description
Today, with physician and hospital reimbursement being cut and tied to quality incentives, physicians and health plans are revisiting the concept of integration. Payers are demanding that the industry do more with less without sacrificing quality of care. As a result, physicians again find themselves integrating and aligning with hospitals that hav
