Ways That Healthcare Is Changing in America
This is an amazing feature - requesting a list. Thanks @charlie.
- 1.Pay for value, not servicesWe're finally seeing a significant shift in how providers will be reimbursed for healthcare services. Medicare has committed by 2018 to tying 50% of its fee-for-service reimbursement to some type of value-based care - that's $500B.
- 2.Primary care revolution - it's all about engaging patients in the community and between office visitsInnovation today is focused in the community. Preventive and proactive healthcare is now widely recognized as a way to significant reduce healthcare costs as well as significantly improve quality of life. Having a great primary care provider (i.e., the doctor you first turn to whenever you have an ailment or health question) makes a huge difference with your health experience. That's why concierge medicine and direct primary care practices are the fastest growing provider group in the nation.
- 3.Patients are living longer and their health is way more complicated70% of people older than 65 yrs old live with more than 3 chronic diseases. An average person will see 19 physicians in his lifetime. We're sicker but living longer. The art of practicing medicine is way more complex, and it requires lots of coordination and detailed, personalized care to ensure a patient gets the right treatment and effectively manages his health.
- 4.New cognitive physician specialties are formed to handle the more complicated nature of patientsNew cognitive specialties, like Hospitalists (and soon community complexists), are being formed to specialize in figuring out how these chronic conditions interact with one another. With patients dealing with multiple chronic diseases, any treatment option can result in negative consequences. These specialists develop deep understanding in what these trade-offs are and optimize those contraindications for the patient.
- 5.The need for a patient's complete longitudinal record being accessible to any provider has never been more importantBecause people's health is much more complex, there's less wiggle room for making decisions without knowing the full picture of a person's health. For these complex patients, any piece of patient information can make drastic change in treatment decision. Healthcare IT tools and infrastructure needs to catch up with the rest of the industries.