The Institute for Healthcare Improvement has published a report discussing the future of America's healthcare in light of the presidential election based on an IHI conference in Washington, D.C., Nov. 8.
The report, "Out of the Blocks: An Action Brief for Health Care Leaders in the Post-Election Era," presents actions healthcare leaders can take to move to a lower cost, higher quality healthcare system.
1. The "grand bargain." The "grand bargain" would entail an agreement between the federal government and healthcare provider organizations to accept transparency and the need for rapid innovation and integration in care delivery, according to the report. Under the agreement, healthcare providers would cut costs, the government would loosen regulations to give providers more flexibility in developing innovative healthcare delivery models and providers would commit to being more transparent in prices, processes and outcomes of care.
2. The need for speed. Healthcare leaders discussed the need for payment reforms to move quickly to support the changes providers are making in their delivery models. To make the transition to value-based payment, providers need scale — they need enough payors on board to successfully move from fee-for-service to pay-for-performance.
3. New models of care. Leaders at the conference expressed a need to change traditional healthcare delivery models to ones that produce greater quality at a lower cost. Some ideas include having physicians and specialists overseeing mid-level providers who directly work with patients; using social media and informatics to reach patients; and working with community organizations to provide convenient, low-cost care to patients.
4. Better measurement. Conference participants discussed the need for better measurement, both in the validity of the measures and the kind of measures that are tracked.
5. State solutions. States can cover their 10 percent share of the Medicaid expansion by cutting waste in the system, according to William Pully, president of the North Carolina Hospital Association and panelist at the IHI conference.
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The report, "Out of the Blocks: An Action Brief for Health Care Leaders in the Post-Election Era," presents actions healthcare leaders can take to move to a lower cost, higher quality healthcare system.
1. The "grand bargain." The "grand bargain" would entail an agreement between the federal government and healthcare provider organizations to accept transparency and the need for rapid innovation and integration in care delivery, according to the report. Under the agreement, healthcare providers would cut costs, the government would loosen regulations to give providers more flexibility in developing innovative healthcare delivery models and providers would commit to being more transparent in prices, processes and outcomes of care.
2. The need for speed. Healthcare leaders discussed the need for payment reforms to move quickly to support the changes providers are making in their delivery models. To make the transition to value-based payment, providers need scale — they need enough payors on board to successfully move from fee-for-service to pay-for-performance.
3. New models of care. Leaders at the conference expressed a need to change traditional healthcare delivery models to ones that produce greater quality at a lower cost. Some ideas include having physicians and specialists overseeing mid-level providers who directly work with patients; using social media and informatics to reach patients; and working with community organizations to provide convenient, low-cost care to patients.
4. Better measurement. Conference participants discussed the need for better measurement, both in the validity of the measures and the kind of measures that are tracked.
5. State solutions. States can cover their 10 percent share of the Medicaid expansion by cutting waste in the system, according to William Pully, president of the North Carolina Hospital Association and panelist at the IHI conference.
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