...CONTROLLING HEALTH CARE COSTS WHILE PROMOTING THE BEST POSSIBLE HEALTH OUTCOMES American College of Physicians A White Paper 2009 Controlling Health Care Costs While Promoting the Best Possible Health Outcomes Summary of Position Paper Approved by the ACP Board of Regents, September 2009 What are the Major Drivers of Health Care Costs? Major drivers of health care costs include: inappropriate utilization especially of advanced medical technology, lack of patient involvement in decision-making, payment system distortions that encourage over-use, high prices for health care services, a health care workforce that is not aligned with national needs, excessive administrative costs, medical liability and defensive medicine, more Americans with declining health status and chronic disease, and demographic changes including an increase in elderly persons. This paper addresses each of these drivers of health care costs and provides recommendations for controlling them. Why Do We Need to Control Health Care Costs? Improvements in health care have the ability to provide opportunities for all people to live better, healthier lives. However, the rate of increase in U.S. spending on health care continues to exceed economic growth at an unsustainable pace. The rate of growth in health care spending is the single most important factor undermining the nation’s long-term fiscal condition. Why Should Controlling Health Care Costs be Linked to Promoting Good Health Outcomes? Increasing pressure...
Words: 26901 - Pages: 108
...Phillip J. Davenporte, M.B.A. MBA 5652 Research Methods Unit III Assignment For this assignment, review at least five articles according to the following instructions: • Using the criteria for “Judging a Research Study” on pages 258 and 259 of your textbook, evaluate at least five or more research articles. • Answer Questions 1 and 2 for all five articles. • Answer two questions from each of the remaining sections of the criteria questions for all five sources (14 questions for a total of 16 questions per source). • Include an APA references list for all five (or more) sources. A. “The Case for diversity in the health care workforce” 1. How Closely is the literature reviewed in the study related to the previous literature? In the first half of the study, the literature reviewed was not as closely related to the previous literature studied. The first half of the paper was used to set the contextual parameters of the study and to explain the basic epidemiology and rationale for the study. The second part of the paper was more closely aligned with previous literature reviewed. The information dealt directly with the research topic and the supporting literature and referenced articles dealt exclusively with the topic at hand. 2. Is the review recent? Are there any outstanding references you know about that were left out? I would consider this review to be relatively recent. The data contained in this research paper and the related referenced articles date...
Words: 7092 - Pages: 29
...Patient-Centered Health Care Home Many people in the United States do not have access to high quality primary care. There is substantial evidence indicating that sufficient access to high quality primary care results in lower overall health care costs and lower use of higher cost services, such as specialists, emergency rooms, and inpatient care. A large amount of the nation’s dollars are spent on health care. This large budget affects providers, patients, employers, and payers such as Medicaid, Medicare, and private insurers. This is a primary concern in many states including, Minnesota. There are significant gaps in the quality of health care that patients in the United States receive. The current health care payment and delivery system is particularly poor at providing care for people with chronic conditions. As a result of these factors, policy makers debated over proposals that can actually be effective. Some of these proposals aimed for reducing cost, focusing on patient, and improving quality of care. An example of a proposal that focused on patient-centered care and increased quality of care is the creation and introduction of Patient-Centered Health Care Home (PCHCH), also known as “Medical Home.” The introduction of the PCHCH in Minnesota will increase patients’ accessibility to health care services, give them power to be involved in decisions regarding their care, have continuity of care with their physicians, prevent duplication of services, reduce health care cost, and improve...
Words: 2668 - Pages: 11
...Primary Care versus Urgent Care: Why People are Choosing Urgent Care Clinics Group 1: Melissa Allen, Nahtika Belser, Meghan Evans, Hailee Gallaway Dr. Martha Rock University of North Alabama NU-200W-01 Abstract The purpose of this paper is to show why people are choosing urgent care over primary care facilities. In this paper, we showed the advantages of both primary and urgent care centers. The methods conducted for this research was online scholarly works. The participants who volunteered were Melissa Allen, Nahtika Belser, Meghan Evans, and Hailee Gallaway. The data obtained resulted in the advantages that urgent care is why patients are choosing them over primary care facilities. Overall, our conclusion shows that primary...
Words: 1829 - Pages: 8
...The Affordable Care Act: Nursing’s Practical Solution Desmond Mueller California State University, Fullerton School of Nursing Concepts of Professional Nursing Practice BSN 306, Section 05 Anne Johnston-Silverberg, MS, FNPc September 14, 2012 The Affordable Care Act: The Role of the Nurse Practitioner The recent implementation of the Affordable Care Act (ACA) has had a significant impact on the American health care delivery systems. The passage of this bill mandates that all Americans must have health care coverage and that insurance companies cannot disqualify applicants due to preexisting conditions (National Council of State Boards of Nursing, 2014). These changes will undoubtedly lead to an increase in the number of people seeking medical care, particularly those with chronic diseases. It is estimated that this influx in the number of patients will result in a primary care provider shortage of 20% by the year 2025 (Poghosyan, Boyd & Knutson, 2014). With many new physicians choosing to pursue specialties due to the promise of a larger salary, hospitals and clinics will need to start looking to other health care providers, such as nurse practitioners, to fill this role. The purpose of this paper is to discuss the role nurse practitioners play with regards to the Affordable Care Act by examining the history and qualifications of nurse practitioners, the current practice of nurse practitioners, the basics of the Affordable Care Act legislation, and potential nursing...
Words: 3789 - Pages: 16
...Evolution of Health Care Information Systems Since the early 1980s, the U.S. health care system has experienced a rapid growth in the sector of health care information technology. This growth can be viewed as an attempt to standardize our fragmented health care system. The health care information technology is no longer an option but a necessity to be compliant with the mandated federal regulations. President George W. Bush in 2004 asked health care providers to implement Electronic Health Records (EHR) by 2014. The Joint Commission for the Accreditation of Health Care Organizations (JCAHO) and Health Insurance Portability and Accountability Act (HIPAA) also joined this initiative by asking health care providers to be compliant with the new legislation. Many community-based physician practices previously reluctant to embrace technology are realizing the benefits of the health care information systems, such as computerized physician order entry (CPOE), electronic medical records (EMR), tele-medicine, complex disease management, and automated billing systems. The purpose of this paper is to compare and contrast a contemporary health care facility with a health care facility of 20 years ago. Additionally, the paper will identify at least two major events and technological advantages that influenced the current health care information system (HCIS) practices. Definition of Health Care Information Systems Prior to discussing the evolution of HCIS in the last two decades, it would...
Words: 1550 - Pages: 7
...the policies of independent practice for Nurse practitioners in Pennsylvania This paper will analyze the policies throughout the United States of independent nurse practitioners. The paper will include the following topics: proposed solutions, background information, political setting and structures involved, stakeholders, value assessment, resources needed to reach intended goals, and power bases involved. Identification and Analysis of the policy Currently in the state of Pennsylvania, nurse practitioners...
Words: 1232 - Pages: 5
...Are Doctors accepting Medicaid Patients as Obama has Signed the Affordable Care Act Rider University 2083 Lawrenceville NJ 08648 5/2/2013 Rider University 2083 Lawrenceville NJ 08648 5/2/2013 Arunabh Sinha Arunabh Sinha Abstract On March 23, 2010 President Obama signed into law the Patient Protection and Affordable Care Act (PPACA), also known as Obama Care. As a direct result of this there are going to be more people on Medicaid and also more “baby-boomers” are going to be turning sixty-five thus qualifying for Medicare. Although fewer doctors are accepting government insured patients! This paper will research the number of doctors accepting governmentally insured patients and also if there is a shortage in the number of providers as the PPACA goes into effect. With data provided from the American Medical Association (AMA), Center for Disease Control (CDC), and other academic journals an evaluation is going to be made of if there is enough doctors to meet the demand of newly insured patients in the US. Issues of access and quality of care will also be addressed in this paper. Are Doctors accepting Government Insured Patients as Obama has Signed the Affordable Care Act On March 23, 2010 President Obama signed into law the Patient Protection and Affordable Care Act (PPACA), also known as Obama Care. As a direct result of this there are going to be more people on Medicaid and also more “baby-boomers” are going to be...
Words: 1235 - Pages: 5
...Loudoun Campus Technology Assessment The role of technology in healthcare plays a key part in how physicians treat illnesses and also how the method by which they diagnosis illness and disease. Technology is not limited to medical milestones through research and the creation of new drugs but also how people can obtain the information regarding medical procedures, receive medical care and information about living healthy lifestyles (Williams & Torrens, 2010). The most common concept that one considers is technology within the health care field is the research that creates life-saving medical procedures through surgery and medication. Large companies such as Pfizer, Merck, and other companies possess the abilities to fund ground breaking research in order to find cures for diseases like HIV/AIDS and many types of cancers or to help treat the ongoing symptoms. Their concept of technology also applies to the materials that many surgeons use during surgeries such as knee/hip prosthetics for knee and hip replacements. In the 1960s these types of surgeries were unheard of and have grown to a $600 market for the research and development to produce such devices through companies like Stryker (McGill, 1989). Significant technology Technology within the healthcare field is not merely limited to ground breaking research to treat illness and disease but specifically how physicians can access patient health records in order to better management current chronic conditions and medical...
Words: 1398 - Pages: 6
...Communication Paper HCS/490 - HEALTH CARE CONSUMER - TRENDS AND MARKETING University of Phoenix 6/2/2014 Eboni Green Communication modality utilized in health care enhances the communication between patients, extended family members, immediate family and the primary medical provider of the patient. The one specific mode of communication that is utilized by consumers and health care provider’s main source of communication would be electronic medical records. The electronic medical records are very beneficial to the patient and his or her primary medical provider. The electronic medical records could also enhance communication skills between the patient and the physician. The electronic medical records took the place of paper records; also electronic medical records could protect the patient privacy concerning their medical history or current health evaluation. The electronic record will also prevent invasion of a patient privacy concerning their medical history, also the electronic medical history will prevent legal action for the primary medical provider. The electronic medical records will benefit the patient in several ways such as the improvement of a patient medical care, reduction...
Words: 801 - Pages: 4
...Evolution of Health Care Information Systems There has been a very fast growth in the U.S. health care system since the early 1980s with regard to the information technology related to health care. This can be viewed as an attempt towards the standardization of the fragmented health care system. Information technology like in every other field of life has become a necessity even in the health care system and is covered by the federal regulations. The implementation of the Electronic Health Records (EHR) by 2014 has become mandated as ordered by President George.W.Bush in 2004 which was seconded by the Joint Commission for the Accreditation of Health Care Organizations (JCAHO) and Health Insurance Portability and Accountability Act (HIPAA). These organizations asked the health care providers to comply with the new legislation and those community-based physician practices who were earlier reluctant to accept and implement it have now realized that the health care in sequence systems in the form of CPOE (computerized physician order entry), EMR (electronic medical records), the tele-medicine, complex disease management, and automated billing systems are very beneficial to them The paper intends to showcase the comparison and contrast between a contemporary health care facility and a traditional health care facility which prevailed before twenty years. At least two major events and technological advantages influencing the practice of the current health care information system are...
Words: 1723 - Pages: 7
...Phillip Waite Final Paper: Value‐based Care and the Physician The change to a value‐based system of healthcare reimbursement is something that I find rather daunting and somewhat scary. The traditional fee‐for‐service system, with all of its flaws, was quite simple to understand—you pay for the care that is given and if you don’t want to pay more, take care of yourself outside of the physician’s office. But, I guess my fear and apprehension about value‐based reimbursement have their foundation in not fully understanding the change and not being able to foresee its impact far into the future. Now, nobody can predict the future, but as I’ve come to find out, that plays a big role in remaining profitable in a value‐based system. Despite my initial thoughts on moving from a fee‐for‐service system, I’ve come to believe that it is the right move, insomuch as it is forcing providers and organizations to focus on preventative care for their patients. Under a fee‐for‐service model, healthcare organizations and providers profited from the ailments of their patients. More procedures meant more money. Less and less thought was given to prevention because it wasn’t profitable. This is one of the factors that has led to an increase in healthcare costs over the years.1 Under a value‐based system, the physicians and organizations are incentivized to improve quality of care delivery and cut costs. The Centers for Medicare & Medicaid Services (CMS) has...
Words: 1668 - Pages: 7
...Jasmine Shaw Denver College of Nursing Abstract This paper is intended to provide an overview regarding the Colorado End of Life Options Act. This paper includes information regarding what it is, who qualifies to use it, and what the entirety of the process looks like. The ultimate goal of this paper, however, is to provide enough information regarding the Colorado End of Life Options Act to ensure that a general understanding of the basic requirements/qualifications, processes, individuals involved, and dilemmas surrounding physician assisted suicide is obtained. Keywords: Colorado, End of Life Options, Physician assisted suicide The Colorado End of Life Options Act The concept of physician...
Words: 1789 - Pages: 8
...IMPACT OF THE IOM REPORT ON NURSING EDUCATION, PRACTICE, AND LEADERSHIP The demands for health care are increasing each day and will significantly increase with the new Affordable Care Act (ACA) now in place, which was passed by the United States Congress and later signed by President Obama in 2010. The passing of the ACA will ultimately allow millions of people who are un-insured to be insured and receive health care. In 2008, the Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) committee spent two years evaluating and transforming the nursing profession in order to help ready the future needs of healthcare. Two years later, on October 5, 2010 and just months after the ACA was signed, the IOM published its report named The Future of Nursing: Leading Change, Advancing Healthcare which partially focuses on the transformation of nursing education, practice and leadership roles of nursing. The IOM report focuses on the importance of nurses enhancing their education to meet the expanding technological advances and expansion of the nursing role by pursuing undergraduate and graduate degrees. These opportunities include nursing research, education, and IOM’s main focus, Advanced Practice Registered Nurse (APRN). A key point the committee states is that “nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression" ("IOM Nursing Report," 2010). By achieving a higher level of education...
Words: 1117 - Pages: 5
...Healthcare communication technologies are rapidly advancing. Patients are using the internet to communicate with their primary care physicians. New modes of communication in the health care arena gives the patients a way to voice concerns that may arise after their visit with the primary care physician. Utilizing all avenues of communication allows the patient and physician to develop a strong rapport and it makes it easier for the patient to adhere to the treatment options advised by their primary care physician. One of the most innovating modes of communication is electronic medical records. Electronic medical records (EMR) systems, the replacement for handwritten medical records, are beneficial for both the patient and the medical professional. Benefits of Electronic Medical Records Electronic medical records have replaced patient files stored in medical offices and hospital records rooms. Conversion from paper medical record to electronic record provides benefits to the patient. The electronic medical record allows the patients information to be securely accessed by the physician at anytime including home, office, hospital, and other medical facilities anywhere in the world. Within the EMR, the patient’s medical data including demographic and insurance information as well as listings of diagnosis, medications, allergies, immunizations and other vital medical information are precisely and succinctly organized, using standardized terminology (Huckestein, 2012). Patients...
Words: 777 - Pages: 4