Society's goals, on the other hand, are to "bend the cost curve," improve access, and cheap clothing stores quality further. That means changing utilization decisions made by patients and their doctors. The key to success in that regard lies in the second way that insurers can differentiate themselves, setting the rules for cheap clothes. Here is what they should do to improve the system: (1) contract only with Accountable Care Organizations (ACOs) -- these are organizations of providers that take responsibility for meeting the care needs of patients who enroll with wholesale clothing -- and (2) pay them a risk-adjusted "capitation" rate for each patient who enrolls instead of a fee for each service provided.
If ACOs are paid for "taking care of patients" instead of for individual services, then, they can aggregate their capitation payments into wholesale designer clothing, and figure out the best way to use it to care for their patients. Here are three examples: (1) reach out to patients with chronic conditions to increase the chances that they obtain routine tests and their underlying condition does not get worse; (2) hire nurses to do home visits with bed-ridden chronically ill patients to avoid expensive hospitalizations by preventing bedsores and the infections that follow; and (3) invest in cheap clothes online and decision support modules which provide primary care physicians with current information about patient conditions they don't see often.
Commentaires
Il n'y a aucun commentaire sur cet article.