Healthcare reform is upon us – what will be affected?
By Jay I. Pomerantz, MD – Executive Medical Director for Health Integrated
The healthcare reform bill passed and was signed into law in March.Â As it comes to fruition over the next decade, there will be many different changes.Â I have spent much of the last 6 – 8 months talking to various aspects of healthcare reform, all of which have the potential to dramatically affect the manner in which care is doled out, to whom and the subsequent outcomes achieved.Â Let’s talk about this further.
I wanted to note though, change is afoot, and it has not taken the legalities and formality of the recent bill to catalyze reform within our healthcare system.Â It has been reforming in a variety of ways over the last several years.Â Many of the changes have been initiated by progressive health plans which are always seeking new ‘out-of-the-box’ approaches to both improve the overall health services and outcomes provided, while simultaneously reducing the cost footprint.Â Programs like the patient-centered medical home (PCMH) are one such program.Â At last count, there are over 27 multi-stakeholder pilots underway in 20 states.Â Other programs like Accountable Care Organizations (ACOs), Utilization Management (UM), Population Health Management (PHM) and others continue to contribute to the evolution of our healthcare system.Â I believe that the market will continue to drive better outcomes and efficiencies in tandem with any legislative changes that are implemented.Â Collectively, this will help the system equilibrate to meet the changing landscape. (more…)