Payment Realignment
Realignment of payment with the six aims is esential. There is not enought excess capacity in the system to bootstrap itself without the cooperation of payers. The six aims of a transformed system are that it be: 1. Safe, 2. Effective (evidence based), 3. Patient-centered, 4. Timely, 5. Efficient, and 6. Equitable.

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Payment Realignment




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Saturday, June 29, 2002
> Two powerful ideas for pursuing perfection

 

1) Patients truly at the center, "radical patientcentricity"

2) First design the healtcare system that is needed.  Then and only then, design the payment system to support the idealized system design.

  • Too frequently we have tried to create as system through manipulation of the payment structures. That is like trying to make a marionette dance through strings held by puppeteers who can't see each other, can't see the marionnette and don't agree on the dance.
  • Only by working together can we get the dance steps right. This is the first order of business if we are to improve the patients' and providers' experience, and deliver the needed quility and value.
  • In our Pursing Perfection project will use group systems dynamics modeling and simulation to design the dance for a couple of chronic diseases first.


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