Skip to main content

Decouple Primary Care From Insurance?

Yes, says Kay Plantes, writing on business model innovation in WTN News:
"Within (the healthcare) muddle rests the opportunity for huge innovation by...providers, payers and their suppliers. And the most important place for that innovation is better primary care. Two examples of big pay-offs from primary care innovation are Denmark closing half its hospitals and Ohio saving half a billion dollars on caring for diabetic patients in its Medicaid system.
...
 
"A very fruitful area for (health care) innovation is stripping primary care from insurance payments, thereby eliminating the high (as high as 40%) tax insurance administrative processes pose on primary care services while giving individuals a medical home to improve their primary care outcomes."
[Read more...]

That aside about Denmark closing half its hospitals is intriguing, don't you think?

Labels:

Comments

Post a Comment

Popular posts from this blog

Michael Porter On Health Care Reform

Michael Porter, writing in the New England Journal of Medicine, proposes "A Strategy For Health Care Reform - Toward A Value-Based System." His proposals are fundamental, lucid and right-on, meaning they're sure to be opposed by some parties to the debate, the so-called "Yes, but..." crowd. Most important, in my opinion, is this: "... electronic medical records will enable value improvement, but only if they support integrated care and outcome measurement. Simply automating current delivery practices will be a hugely expensive exercise in futility. Among our highest near-term priorities is to finalize and then continuously update health information technology (HIT) standards that include precise data definitions (for diagnoses and treatments, for example), an architecture for aggregating data for each patient over time and across providers, and protocols for seamless communication among systems. "Finally, consumers must become much mor...
Post a Comment
Read more

Simplicity From Complexity

Health care planners typically juggle many different services and businesses, each with unique customers, competitors and prospects.  The complexity can be overwhelming.  So-called portfolio models for assessing industry attractiveness and competitive strength can be a good analytical jumping-off point, including the McKinsey-GE 9-box matrix . (Click on the "Launch Interactive" link.)
Post a Comment
Read more

5 Marketing Megatrends

Coming to a brand near you, from Adam Kleinberg at iMedia Connection, here are " 5 marketing megatrends you can't ignore ." Mass collaboration... Constant connectivity... Globalization... Pervasive distrust in big corporations... A global sense of urgency... #4 is, I think, under-appreciated in health care. Doctors and hospitals like to think of themselves as the last of the white hat-wearing good guys, and maybe they are. But trust is a funny thing - built over decades and lost overnight. Screw it up and watch the laser beam of populist rage move from Wall Street to Medical Avenue.
Post a Comment
Read more