Accumulating criticism of CMS’ legacy “Direct Contracting” programs has finally resulted in concrete action to fix them by announcing the ACO REACH – Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health (REACH) Model (ibit.ly/DAX2). Called “Indirect Contracting”, the legacy (Direct Contracting) programs promoted anything other than sustainable health care practices by furthering a…
Slow Healthcare
What if “slow healthcare” is where there is the most potential? A trip back in time, and perhaps into the future (Doctor’s Office, 1820). Between virtual care, AI assistants, etc… This might be possible again, and more personal than today’s “processed” office visits. What do the slow food movement and healthcare have in common? “Slow…
Who should be in the “value” driver’s seat in health care?
In the US we have done so well at burying the actual costs of health care. It is surprising private enterprises like LOWE’S and their stakeholders have found a path to value. Outcomes that matter and true costs (=value) are buried under FFS, outcome proxies that mean little to patients (and their providers), inexplicable risk…
Providers must lead in order to be in the “value” driver’s seat in health care.
More direct provider/employer arrangements will continue to emerge. Impetus for health care providers to focus more on value. A conscious focus on actual costs and outcomes that matter to patients is the only sustainable path for our healthcare system. A follow-up to: Who should be in the “value” driver’s seat in healthcare? Boeing Contracts Directly With…
Nutrition Rx
Enlisting clinicians in coaching patients on how to shop for and prepare healthy food is a critical prevention tactic that requires more emphasis in our health care system. Healthier people are less likely to over-utilize health care contributing to higher costs. Our payment policies and value-based interventions should build on the success of Veggie Rx…