This article majorly focusses on value-based healthcare delivery model and describes what value-based delivery model means and entails and goes further to explain in details the four types of value-based delivery model, which are Accountable Care Organization (ACO), Patient-Centered Medical Home (PCMH), Pay for Performance (P4P) and Bundled Payments.
Value-based healthcare delivery model is a solution that is emerging and it aims at addressing the healthcare costs that keep on rising and to make it cheaper and easier for people to find the care they need. In this model, hospitals and their doctors get payments for keeping people healthy and for ensuring the health of chronic diseases patients gets to improve in an evidence-based approach and a cost effective manner. The article further explains that this value-based model is designed around and for patients, who in the end benefit from a team concerned with coordination of their health and give the correct information to help them get the right care across our healthcare system. All individual patient needs are met by the medical care teams whether they be chronic, acute or preventive. The article concludes that whatever the value-based model you choose, all of them aim at delivering better health in a more affordable way. Moreover, the way a value-based care will look depends on what approach the doctors and healthcare systems take in its implementation. Some of the models are very visible while others are invisible and therefore you may get care under one of these models and never even know that you have. I therefore find this article very descriptive on my topic of interest and is gives very vital information that I need for my research paper.
Table of Contents
- Value-Based Care
- The Medical Home Model of Care
- Managed Care Systems and Emerging Infections
- Getting Ready for Emerging Care Models
Objectives and Key Themes
This annotated bibliography explores emerging healthcare delivery models in the US and their impact on the quality of care. The goal is to provide an overview of various models and their potential to improve healthcare efficiency and patient outcomes.
- Value-based care models and their implementation.
- The role of technology in facilitating new healthcare delivery models.
- The impact of managed care organizations on healthcare delivery and public health.
- Patient-centered medical homes (PCMHs) and their effectiveness.
- Challenges and opportunities in transitioning to new healthcare models.
Chapter Summaries
Value-Based Care: This article focuses on value-based healthcare delivery models, explaining the concept and detailing four types: Accountable Care Organizations (ACOs), Patient-Centered Medical Homes (PCMHs), Pay for Performance (P4P), and Bundled Payments. It emphasizes the model's aim to reduce rising healthcare costs while improving patient care through coordinated teams and evidence-based approaches. The article highlights the patient-centric nature of value-based care and its potential to deliver better health outcomes at a lower cost, acknowledging the variability in implementation approaches.
The Medical Home Model of Care: This article, authored by the National Conference of State Legislatures, details the Patient-Centered Medical Home (PCMH) model, a method for transforming healthcare delivery. The PCMH aims to improve quality and efficiency while reducing costs by providing comprehensive, patient-oriented care. Key features include improved patient access (extended hours, enhanced communication), increased care coordination, and improved overall quality, all while aiming for cost reduction. The article cites research demonstrating the model's positive impacts on physical and behavioral health, access to social services, and chronic condition management.
Managed Care Systems and Emerging Infections: This book explores the impact of managed care organizations on healthcare delivery and public health. The author's research reveals that the evolving healthcare system, with its managed care organizations, presents both opportunities and challenges. While these organizations can significantly improve disease prevention, research, and treatment, particularly regarding infectious diseases, they also pose potential barriers to collaboration between the public health sector and managed care, if financial reimbursement systems are not carefully designed. The book provides a comprehensive overview of managed care organizations, their various types, benefits, and potential drawbacks.
Getting Ready for Emerging Care Models: Written by Andrew Pashman, this article focuses on the technological foundation needed to participate in value-based care models like PCMHs and ACOs. It emphasizes the importance of collaboration and coordination among outpatient providers and highlights the need for technological infrastructure to support the delivery of preventive care and efficient, cost-effective patient care. The article categorizes preparation into three areas: processes, people, and technology, and stresses the crucial role of technology in enabling effective participation in these new models.
Keywords
Value-based care, Patient-Centered Medical Home (PCMH), Accountable Care Organizations (ACOs), Pay for Performance (P4P), Bundled Payments, managed care, healthcare delivery models, quality of care, cost reduction, healthcare technology, public health, emerging infections, healthcare collaboration.
Frequently Asked Questions: A Comprehensive Preview of Emerging Healthcare Delivery Models
What is this document about?
This document provides a comprehensive preview of a publication exploring emerging healthcare delivery models in the US, focusing on their impact on quality of care, efficiency, and patient outcomes. It includes a table of contents, objectives and key themes, chapter summaries, and keywords.
What are the key themes explored in this publication?
The publication explores value-based care models (including ACOs, PCMHs, P4P, and bundled payments), the role of technology in facilitating new models, the impact of managed care organizations on healthcare delivery and public health, the effectiveness of Patient-Centered Medical Homes (PCMHs), and the challenges and opportunities in transitioning to new healthcare models.
What are the main healthcare delivery models discussed?
The key models discussed are Value-Based Care (with its various components like ACOs, PCMHs, P4P, and Bundled Payments), and the Patient-Centered Medical Home (PCMH) model. The role of Managed Care Systems is also extensively analyzed.
What is Value-Based Care, and how does it work?
Value-based care aims to reduce healthcare costs while improving patient care through coordinated teams and evidence-based approaches. It focuses on delivering better health outcomes at a lower cost, employing methods such as Accountable Care Organizations (ACOs), Patient-Centered Medical Homes (PCMHs), Pay for Performance (P4P), and Bundled Payments.
What is a Patient-Centered Medical Home (PCMH)?
A PCMH is a model for transforming healthcare delivery that aims to improve quality and efficiency while reducing costs by providing comprehensive, patient-oriented care. Key features include improved patient access, increased care coordination, and improved overall quality.
How do Managed Care Systems impact healthcare delivery and public health?
Managed care organizations can improve disease prevention, research, and treatment, particularly regarding infectious diseases. However, they may also create barriers to collaboration between the public health sector and managed care if financial reimbursement systems aren't carefully designed. The publication explores both the opportunities and challenges presented by these organizations.
What is the role of technology in the transition to new healthcare models?
Technology plays a crucial role in enabling effective participation in new value-based care models. It is essential for supporting the delivery of preventive care and efficient, cost-effective patient care, requiring collaboration and coordination among outpatient providers. The publication emphasizes preparing for this transition through focusing on processes, people, and technology.
What are the challenges and opportunities associated with transitioning to new healthcare models?
The publication addresses the challenges and opportunities involved in adopting new models, highlighting the need for careful consideration of financial reimbursement systems, technological infrastructure, and collaborative efforts among healthcare providers and public health organizations.
What are the key takeaways from this publication?
The publication highlights the importance of patient-centric care, the potential of various models to improve healthcare efficiency and patient outcomes, the critical role of technology, and the need for effective collaboration across various stakeholders in the healthcare system.
- Quote paper
- James Mageto (Author), 2017, Emerging health care delivery models in the US and how they improve the quality of care, Munich, GRIN Verlag, https://www.grin.com/document/369485
