The New Healthcare
What does the new healthcare environment mean to providers? Hundreds of billions of dollars. And, the consensus is $500B in cuts to Medicare alone.
The Patient Protection and Affordable Care Act (PPACA) is the single largest piece of social legislation in our lifetime. That legislation, coupled with the Healthcare and Education Reconciliation Act, brings sweeping changes and new mandates that will have significant impact on the healthcare system in America.
- New Insurance Mandate: The law calls for everyone to be insured, including coverage for the approximately 32 million currently uninsured. Although challenged by many states, the requirement currently exists.
- Meaningful Use: Providers will earn matching funds for investment in Electronic Medical Records technologies.
- Value Based Purchasing: This calls for a complete shift in how providers are reimbursed for a range of services.
- Accountable Care Organizations: These models are population-based risk incentives and penalties for community health management.
- New Tax Categories: Nonprofit hospitals may be taxed if shown to be out of compliance with community benefits
- New Clinical Research Rules: Patient-centered clinical effectiveness research will determine what providers should and should not do for patients.
And these are just the beginning as new regulations and mandates are regularly handed down. Providers need resources that are collaborative and interactive. Gone are the days when providers can examine performance in a vacuum. Gone are the days of analyzing data in disparate silos related to specific areas. Today’s healthcare environment requires “intelligence for the new healthcare.” It requires a single source for solutions that can measurably contribute to meeting the mandates of healthcare reform.
We now live and work in a new healthcare environment. Employers must modify employee benefits; providers must adjust care delivery; and consumers must rethink healthcare decisions. Healthcare reform is here and it will usher in an era of change for the next several years.
These changes will present challenges due to the complexities of the new regulations regarding delivery of care. While striving for accountability and sustainability, providers must simultaneously reduce costs, optimize efficiencies and expand access.
The new healthcare is the natural result of healthcare reform. And while the ultimate goal of reform is to transform the way healthcare is delivered, measured and reimbursed, the path to success cannot be easily traversed considering all the substantive changes and new rules.
The new healthcare needs new intelligence to effectively implement those changes. And iVantage has that new intelligence.