How Are We Going To Debate Healthcare Reform?

No one system escapes criticism. It appears that there is good, bad, and ugly to be found in any system you choose. For sure there would be winners and losers.  THE PRIME DIRECTIVE:

-ELIMINATE VARIABILITY

  • One Operations Manual
  • One Policy Manual
  • One Reimbursement Manual

Next Gen blog 9 - healthcare debate graphic

USE THE HEIRARCHY OF EVIDENCE[1]

GRADING

1A-Strong recommendation. High quality evidence. Strong recommendation can apply to most patients in most circumstances without reservation

1B – Strong recommendation. Moderate quality evidence. Strong recommendation, likely to apply to most patients.

1C – Strong recommendation. Low quality evidence. Relatively strong recommendation; might change when higher quality evidence becomes available

2A – Weak recommendation. High quality evidence. Weak recommendation, best action may differ depending on circumstances or patients or societal values

2B – Weak recommendation. Moderate quality evidence. Weak recommendation, alternative approaches likely to be better for some patients under some circumstances

2C – Weak recommendation. Low quality evidence. Very weak recommendation; other alternatives may be equally reasonable

USE WHAT BENEFITS THE HEALTH CARE CONSUMER & HEALTHCARE PROVIDER

  • MEDICARE
    -universal coverage
  • MEDICAID
    -emphasis on the SDOH
  • VA
    -special coverage for designated groups
  • TRICARE
    -the Manuals
  • ACA
    -Pre-existing conditions
    -Covered benefits
    -Quality Assurance
    -Accountable Care Organizations
    -Appeals Process

WE NEED A PLAN WHICH WILL HAVE APPEAL REGARDLESS OF THE SEAT ON THE POLITICAL FENCE.

next gen blog 9 - political fence

The Democrats are not easily aligned. [2] The Republicans are as  hard to read as there appears to be some conflict between Congress and the Administration.[3] [4] [5]

  1. One which will reduce the deficit
  2. One which would correct the variability of the current (MULTI-PAYER) For Profit HealthCare Insurance Model
  3. One that would meet the requirements of RETURN ON INVESTMENT
  4. Address the SDOH
  5. Reduce COST
  6. Improve QUALITY
  7. Increase ACCESS

AND-it needs to align with what the people want. Consideration should be given to the needs of providers as well.

next gen blog 9 - publics attitude graphic

Can you say FOLLOW THE YELLOW BRICK ROAD?

FOOTNOTES:

[1] “Grading Guide.” UpToDate, 2018, www.uptodate.com/home/grading-guide.

[2] Epstein, Reid J. and Ken Thomas, “Democratic Candidates, Pressured by Party Base, Split on How Liberal to Be,” WSJ 20 Mar 2019, www.wsj.com/articles/democratic-candidates-pressured-by-party-base-split-on-how-liberal-to-be-11553093765

[3] Armour, Stephanie and Kristina Peterson, “GOP Puts Off Unveiling New Health Plan Until After 2020 Election,” WSJ, 2 Apr 2019, www.wsj.com/articles/trump-sees-no-vote-on-gop-health-plan-until-after-2020-election-11554212678

[4] Kim, Seung Min and Josh Dawsey, “For Trump’s ‘Party of Healthcare,’ there is no health-care plan,” Washington Post, 30 Mar 2019, www.washingtonpost.com/politics/for-trumps-party-of-health-care-there-is-no-health-care-plan/2019/03/30/b4005bd0-5264-11e9-8d28-f5149e5a2fda_story.html?utm_term=.dca7fa256dd2

[5] Ward, Emily, “White House working on secret healthcare plan with three conservative think tanks,” Washington Examiner, 31 Mar 2019, /www.washingtonexaminer.com/news/white-house-working-on-secret-healthcare-plan-with-three-conservative-think-tanks

By | 2019-09-03T14:04:21+00:00 September 3rd, 2019|Categories: Healthcare|0 Comments

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