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Improving Value
Delivery System Reform
The overarching goal of delivery system reform is to practice medicine in a new way to better find the value.
Better transparency and new financial incentives are certainly part of the solution set but it is likely that more will be needed. Delivery system reform includes a variety of approaches that attempt to deliver better health care in a more holistic fashion. Some common themes include changing the structure of the health care system to encourage quality and efficiency, reward care coordination among various health care, better sharing of information, often using health information technology, and improve patient and consumer engagement. Strategies include:
- Accountable Care Organizations (ACOs)
- Better Coordinated Care for Complex Cases
- Disease and Chronic Care Management
- Better Coordinated Care For Complex Cases
- Generic Pathway for Biologics
- Health Information Technology
- Reduce Medical Errors
- Medical Homes
- Changes In Provider Scope Of Practice
It can be hard to change practice patterns and provider culture and it is pretty certain that financial incentives are necessary but insufficient. Charismatic leadership, infrastructure and support for the transformation process itself are likely key elements in the success of delivery system reforms but we are still learning a lot about these dimensions. Local market conditions may also be integral to a successful intervention. And having a critical mass of payers all using the same methods of payment is critical.
Re-engineering health delivery systems is challenging. Providers often have to keep a foot in both the fee-for-service and value-based payment worlds.
HEALTHCARE VALUE HUB
The Healthcare Value Hub can help you find free, timely information about policies and practices to achieve health systems that are equitable, affordable, and focused on the goals and needs of the people the system is meant to serve.
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