If one had to make a condition care theory that would seem doomed to failure one might start with one in which the providers of care were fragmented, independent and driven through the reimbursement theory to provide ever more services that create higher revenue on a fee for aid basis. The theory would provide care to patients who were isolated from the economic costs of the services by third party payments, through employer funded guarnatee coverage. Third party payers would make their money through reducing prime payouts, by plainly delaying or not paying out what they contracted to provide or extorting deep victualer discounts in transfer for directed volume. The approach to care of individual patients would be ad hoc, without vital oversight. Severely ill patients would be passed back and forth by all providers like the black queen of spades in a deck of cards. Bad debts would be written off as "charity care." guarnatee premiums would rise faster than the world's oceans in global warming. Sound familiar?
Unfortunately, in an contentious and polarized political democracy limited can be done to re-design an antiquated, inefficient, ineffective, and bankrupting cowboy theory of condition care delivery in a focused, ample way that will likely make a real difference. There are just too many inviting parts and extra interests involved. There is, however, an incremental turn underway as a consequent of the new condition care reform efforts that have the possible to morph the theory into a paradigm that makes more practical sense. Medicare will be providing contracts with Accountable Care Organizations that will have to come to be clinically integrated systems of effective hospitals and care providers in order to gain adequate reimbursement. Expect to see these new systems addition in the inexpressive sector as well.
Health Care Reforms
The government's push toward implementation of global electronic healing records systems will be key to the amelioration of data driven systems contentious not only for financial gain, but also for potential in operation and outcomes. Data potential inaugurates operation accountability in managing sick person care. With the coming of reliable data there will be more and more focus on evidence based medicine, what works and what does not and we will be inviting from a largely intuitive approach to an empirical make in condition care delivery. Outliers will be reviewed, evaluated and addressed. The focus will be on theory based accountability in providing the most effective method of care and the most uncostly price. This can only occur if hospitals and care providers are focused on and are compensated for the delivery of condition not the delivery of care. Look to the rise and expand of fully integrated condition care systems compensated in global fixed fees, and view the decay and death of fee for aid medicine.
The pace of technology amelioration in the form of electronic healing records, smart electronic healing devices and in communication, storehouse and cloud computer functioning, augers the possible for what what Ray Kurzweil describes as the "Singularity."
What then is the singularity? It's a future duration while which the pace of technological turn will be so rapid, its impact so deep, that human life will be irreversibly transformed. Although neither utopian nor dystopian, this epoch will transform concepts that we rely on to give meaning to our lives from our business models to the cycle of human life, along with death itself.
Kurzweil, Raymond The Singularity Is Near: When Humans Transcend Biology. Viking (2005), at 7. The best hope for solving of the condition care delivery and financing dilemma may well reside in the the disruptive power of advancing technology and a paradigm shift to systemic rather than individualized views of potential and success.
The Evolution Of Integrated condition Care Delivery Systems And The Singularity
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