Healthcare at a turning point : a roadmap for change /: a roadmap for change. (2012)

• Record Type: Book
• Further Information: Note: Rita E. Numerof, Michael N. Abrams ; foreword by David B. Nash.
• Other Names: Numerof, Rita E; Abrams, Michael N
• Contents: A Vision for Tomorrow; Vision of a Fundamentally Different Future; Seeds of Disruption; Healthcare Isn’t the First Industry in Transition; Where Are We Currently? Whose Agenda Controls Your Healthcare?; Why a Market-Based Model for Healthcare Is a Good Thing; How Did We Get into This Mess?; End of the Model Year; Understanding Healthcare Reform as Business Model Change; Central Role of Payment Reform; Unintended Consequences: The Hospital Example; Paying for Volume, Not Results; Real Impact of CMS on Quality of Care and Costs; Unintended Consequences: The Primary Care Example; Discouraging the Type of Care That Results in Better Outcomes; Creating a Critical Shortage of the "Right" Kind of Doctors; Healthcare Is Big Business; Recent Example; Creating a Competitive, Functioning Market; There Is Little Accountability in the Current System; There Is Little Information Available on Which to Base Responsible Care Decisions; There Is Already Enough Money in the System; There Is a Solution, and It’s Closer than Some Think; Endnotes In the Eye of the Storm: The Role of Consumers and Employers; A Personal Example; Whose Agenda Controls Your Healthcare? Another Look; Perversion of the Concept of Insurance; Where Do Employers Fit into the Equation?; What Can Consumers and Employers Do?; Demand Transparency and Accountability; Move Conversation toward a Continuum of Care; Create/Become Informed Consumers; Create Incentives for Better Health Behaviors; Change Is Never Easy, but It Is Possible Comparative Effectiveness Research: Creating an Environment for Change; Drivers of CER; Role of Cost Containment; Role of Political Expediency; Why Is the Federal Government Specifically Involved?; Focus of CER; Expected Criteria for Choosing Priorities; Endnotes Redesigning Healthcare Delivery: Hospitals Were Never Meant to Be Destinations of Choice; Adapting to the Changing Landscape of Healthcare; Needed: A Transfusion of Fresh Thinking; Management Infrastructure; Misuse of IT; Comparative Effectiveness Research Is Shaping Healthcare Delivery; Development of Predictive Care Paths; Changing Quality Metrics; Impact of CER on Hospital Operations; Prudent Responses and Defensive Strategies; Accountable Care Is Needed, ACOs Are Not Laudable Goals; Any Provider Can Provide More Accountable Care; What Are You Waiting For?; Bundled Payment: The Next Step in Improving Quality and Reducing Cost; Why Will Bundled Payment Models Do Any Better?; So How Do We Get There?; St. Elsewhere: A Case Study in Bundled Pricing; Taking a Proactive Approach to a Market in Transition; Competing with a Bundled Price; Endnotes A Brave New World for Payers; Adapting to the Changing Landscape of Healthcare Insurance; Needed Here, Too: A Transfusion of Fresh Thinking; Rethinking the Customer; Rethinking Products; Implications for Healthcare Insurers; What Payers Can Do; Develop Partnerships with Providers; Segment Providers; Focus Partnerships on the Prevention of Never Events; Require and Pay for Predictive Care Paths; Change the Basis for Paying Primary Care Physicians; Increase Consumer Engagement and Personal Responsibility, Reducing the Abuse of the System by Consumers; Reduce Fraud and Abuse by Providers; Are You Ready for Disruptive Innovation?; Endnotes Big Pharma: How to Regain Success; Vulnerabilities of the Current Model; Market-Driven Business Model; Ensuring Stakeholder Value; Strategic Marketing Capabilities; Innovation Stewardship; Pressures on Innovation; Role of CER in the Pharmaceutical Industry; Treatment Guidelines; Focus on Cost Effectiveness; End of the Placebo-Only Controlled Trial; Impact of CER on Pharmaceutical Operations; Prudent Responses and Defensive Strategies; Develop Service Wraps; Diversify Revenue Streams Away from Payers; Adopt a Rolling Blockbuster Approach; Real-World Example; Looking Ahead; Endnotes A New Day Is Dawning for Medical Device and Diagnostics Manufacturers; Getting Products to Market: Change Is in the Wind Implications for the Industry; Commercial Challenges; CER: The Threat for Medical Devices; End of the "Last Version Plus 5%" Business Model; Increased Pressure to Rightsize Functionality; Increased Competition with Drugs; Restricted Qualification for Devices; Impact of CER on Medical Device Operations; Prudent Responses and Defensive Strategies for Medical Device Companies; Adopt Strategies Suited to the New Environment; Focus on Reducing the Cost of the Procedure; Develop Service Wraps; Embrace the Cost–Functionality Trade-Off; CER: The Opportunity for Diagnostics; Reduced Tolerance for Redundant Testing; New Commercial Model; Possibility of Mass Screening; Impact of CER on Diagnostics Manufacturer Operations; Prudent Responses and Defensive Strategies for Diagnostics; Diversify the Revenue Base; Begin to Develop Partnerships for Custom Diagnostics; Where Do Medical Device and Diagnostics Companies Go from Here?; Hospital-as-Customer Requires a New Sales Model; Endnotes Putting Value at the Center of Healthcare; Recent Legislative Solutions and Why They Won’t Work; Accountability for Care Is a Good Concept; ACOs: Their Original Purpose; ACOs: Their Role in PPACA; Government-Sponsored Payment and Delivery Systems; Top-Down Approach to Complex Health Policy Problems; ACOs: Key Deficiencies; Recommendations for Policymakers: Healthcare Delivery; Enabling Markets to Create Access to Care; &amp
• Publisher Details: Place of publication not identified : Productivity Press
• Publication Date: 2012
• Extent: 1 online resource, illustrations
• Subjects: 362.10973; Health services administration; Health facilities -- Administration; Health Care Reform -- methods -- United States; Health Services Administration -- United States
• Languages: English
• ISBNs: 9781466578876; 1466578874
• Access Rights: Legal Deposit; Only available on premises controlled by the deposit library and to one user at any one time; The Legal Deposit Libraries (Non-Print Works) Regulations (UK).
• Access Usage: Restricted: Printing from this resource is governed by The Legal Deposit Libraries (Non-Print Works) Regulations (UK) and UK copyright law currently in force.