Navigating Today's Evolving Marketplace
As U.S. health reform implementation moves ahead, healthcare providers, payers and patients are being challenged at every turn. Strong leadership is critical to navigate the increasing complexities and improve patient outcomes at the best possible price while engaging patients in more shared decision-making. Clinical decision-making is virtually always tied to the economics of those preferences and choices, which have a significant impact not only at the patient-level but also across the healthcare industry and on the U.S. economy alike.Richard A. "Rich" Parker, MD, a veteran internist and medical management leader, has worked extensively at the intersection of healthcare delivery, health technology assessment and the evolving payment frameworks that were introduced in the U.S. Patient Protection and Affordable Care Act of 2010. See About …
From the Trenches
Dr. Parker's hands-on experience with patients, clinicians, physician groups, hospital administrators, public and private payers, specialty care companies, manufacturers and others has provided him diverse and deep perspectives on what defines success in any given situation and what the practical strategies and tactics should be. He also has built essential working relationships and helped negotiate important business agreements in the best performing accountable care organization (ACO) in the Greater Boston area in the Beth Israel Deaconess Care Organization (BIDCO). Recently, BIDCO was ranked third nationally among Pioneer ACOs for its performance. See Capabilities …Aligning Efforts to Maximize Patient Outcomes
More and more, stakeholders across the healthcare industry must work together to find common ground and like-minded approaches to optimize patient care outcomes and resource utilization. Finding a common definition for "value in health care" for all has proven to be complex and often, population-dependent. Building care management programs that are efficient and cost-effective require a thoughtful evaluation of priorities and high-value opportunities along with a structured communications and performance plan. See Case Studies …
