Reducing Administrative Costs and Improving the Health Care System

Cutler, David M.; Wikler, Elizabeth; Basch, Peter

doi:10.1056/nejmp1209711

Cited by 92 publications

(66 citation statements)

References 1 publication

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“…Hip fracture is the third most costly diagnosis in American medicine. 212 Despite this problem, there has been little progress on reducing health care costs, although the pace of growth seems to have slowed somewhat in 2013. Typically, costs of care are inversely proportional to quality of care.…”

Section: Discussionmentioning

confidence: 99%

A Guide to Improving the Care of Patients with Fragility Fractures, Edition 2

Mears¹,

Kates²

2015

Geriatr Orthop Surg Rehabil

130

121

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Over the past 4 decades, much has been learned about the pathophysiology and treatment of osteoporosis, the prevention of fragility fractures, and the perioperative management of patients who have these debilitating injuries. However, the volume of published literature on this topic is staggering and far too voluminous for any clinician to review and synthesize by him or herself. This manuscript thoroughly summarizes the latest research on fragility fractures and provides the reader with valuable strategies to optimize the prevention and management of these devastating injuries. The information contained in this article will prove invaluable to any health care provider or health system administrator who is involved in the prevention and management of fragility hip fractures. As providers begin to gain a better understanding of the principles espoused in this article, it is our hope that they will be able to use this information to optimize the care they provide for elderly patients who are at risk of or who have osteoporotic fractures.

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Section: Discussionmentioning

confidence: 99%

A Guide to Improving the Care of Patients with Fragility Fractures, Edition 2

Mears¹,

Kates²

2015

Geriatr Orthop Surg Rehabil

130

121

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“…The United States spends more on administrative costs than on heart disease and cancer combined. 7 In most industries, administrative costs decline when largemarket participants push for standardized practices. For example, Walmart forced retail suppliers to communicate more efficiently; administrative costs decreased throughout the retail sector.…”

Section: Malpractice and Administrative Reformmentioning

confidence: 99%

From the Affordable Care Act to Affordable Care

Cutler

2015

JAMA

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Health reform is a process, not a destination. The Affordable Care Act (ACA) will not be the last word in health policy any more than were Medicare and Medicaid. The ACA focused primarily on extending insurance coverage. Going forward, policy will need to address 2 areas the ACA pursued less vigorously: continuing to slow the increase in health costs and improving the practice environment for physicians.

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“…In a pluralistic payer environment, government agencies may be the only purchaser with sufficient power and scale to compel standardisation of contracts. 9 The decision of whether to enforce standardisation for a contractual process or metric should be determined on a case by case basis. It may be appropriate to standardise basic administrative procedures (such as use of ICD-10, and recording of patient characteristics), but the freedom to redesign contracts in various ways may result in learning and evolution.…”

Section: Standardisation Of Contractsmentioning

confidence: 99%

Optimisation of Healthcare Contracts: Tensions Between Standardisation and Innovation Comment on "Competition in Healthcare: Good, Bad or Ugly?"

Mikkers¹,

Ryan²

2015

Int J Health Policy Manag

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An important determinant of health system performance is contracting. Providers often respond to financial incentives, despite the ethical underpinnings of medicine, and payers can craft contracts to influence performance. Yet contracting is highly imperfect in both single-payer and multi-payer health systems. Arguably, in a competitive, multi-payer environment, contractual innovation may occur more rapidly than in a single-payer system. This innovation in contract design could enhance performance. However, contractual innovation often fails to improve performance as payer incentives are misaligned with public policy objectives. Numerous countries seek to improve healthcare contracts, but thus far no health system has demonstrably crafted the necessary blend of incentives to stimulate optimal contracting. Keywords: Healthcare, Competition, Contracts, Innovation, Performance Copyright: © 2016 by Kerman University of Medical Sciences Citation: Mikkers M, Ryan P. Optimisation of healthcare contracts: tensions between standardisation and innovation Comment on: "Competition in healthcare: good, bad or ugly.

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Reducing Administrative Costs and Improving the Health Care System

Cited by 92 publications

References 1 publication

A Guide to Improving the Care of Patients with Fragility Fractures, Edition 2

A Guide to Improving the Care of Patients with Fragility Fractures, Edition 2

From the Affordable Care Act to Affordable Care

Optimisation of Healthcare Contracts: Tensions Between Standardisation and Innovation Comment on "Competition in Healthcare: Good, Bad or Ugly?"

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