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Health Works Collective > Policy & Law > Health Reform > Debt Ceiling Negotiations on Health Care are Mere Cost Shifting
Health Reform

Debt Ceiling Negotiations on Health Care are Mere Cost Shifting

DavidEWilliams
DavidEWilliams
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The US definitely seems to have weakened itself in the international sphere over the past decade. One could argue that the real damage to the US from the September 11 terrorist attacks was caused by the US overextending itself into Iraq and Afghanistan and getting paranoid about security and immigration on the home front. But those decisions were generally popular among Democrats and Republicans, and it’s still hard to say exactly what the right moves were.

The US definitely seems to have weakened itself in the international sphere over the past decade. One could argue that the real damage to the US from the September 11 terrorist attacks was caused by the US overextending itself into Iraq and Afghanistan and getting paranoid about security and immigration on the home front. But those decisions were generally popular among Democrats and Republicans, and it’s still hard to say exactly what the right moves were.

The current debt ceiling debate is another matter entirely. We are at serious risk of applying a self-inflicted wound that will be difficult to recover from. I remember in finance class being taught about the “risk free” rate, which was the foundation for all assumptions and calculations related to other assets and derivatives. That rate of course, was what was paid on US government securities. By even contemplating not raising the debt ceiling Congress –and the Tea Party caucus in particular– are in danger of erasing that assumption, driving up long-term borrowing costs, and undermining the role of the US dollar in the international system. Looking back a couple years from now I can’t imagine anyone in Congress who will be happy about causing that kind of damage, yet many appear to be in denial today.

There’s talk of $1.5 or $1.7 trillion in spending cuts over 10 years, of which $300 billion or so is from Medicare and Medicaid. These cuts are pretty much a yawn, since they are not about structural reform, but rather just shifting costs around. I am in favor of cost shifts to wealthy individuals in Medicare, but that doesn’t do much to address the underlying drivers of costs. And by cutting Medicaid as well as Medicare, the cuts don’t do much if anything to improve inter-generational equity.

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The ACA has put patients at the center of healthcare services. A patient-centric healthcare approach in this digital era means a revised definition of quality in the physician-patient relationship. When it comes to healthcare services, patients shell out a hefty amount from their pocket and want nothing less than the best. The services in healthcare are no longer limited to just cost as consumers now evaluate quality and experience in the same equation. Research highlights from the 2015 Healthcare Consumer Trends by National Research Corporation states that reputation in healthcare matters more to consumers when choosing a brand than any other industry, e.g. hospitality, retail, airline, etc. The new generation of quality measurements in healthcare require a different mind-set and a different 'toolbox' to handle the hurdles. It’s the need of the hour for healthcare providers and others across the healthcare value chain to adopt the patient-centric approach for surviving in the vast competitive ocean of healthcare services. Patient-centric care is an approach that develops through effective communication, empathy and a positive physician-patient relationship. The primary purpose is to improve patient care outcomes and satisfaction and to reduce patient symptoms and unnecessary costs. It’s a win-win situation for both physicians and patients. While healthcare providers are able to support their patients in becoming more compliant with treatment and management of their conditions/diseases, patients feel more satisfied with the care that they are receiving. PwC’s Health Research Institute’s annual report 2016 states that health systems should keep an eye on the consumer experience as they expand and extend. More partnerships and more caregivers could mean confusion for patients and poor customer experiences. To differentiate their practice among competitors, patient satisfaction can be used as a competitive distinguishing factor. Although patient satisfaction cannot really provide tangible benefits, but an experience that exceeds patient expectations for what a practice/hospital can provide is very important as it creates loyal patients who return for future health needs and refer their family and friends. Happy and satisfied patients are a secret marketing weapon for healthcare providers, whether they are physicians, dentists, physiotherapists or hospitals. Your patients are the new-age digital health decision-makers. In this era of Internet and social media, they now have multichannel access to information related to health. Needless to mention, they have gained new power to make their decisions; whether it’s choosing a healthcare provider or referring a physician to family and friends. By converting your satisfied patients to be your brand advocates, you can capitalize and use their voice as an effective marketing strategy to reach out to many other potential patients. To strive and thrive, in the U.S. many healthcare organizations are applying patient-centric approaches to healthcare. It’s all about what matters to patients, so it makes a lot of sense for the healthcare industry to place patients' healthcare experience at the center of their policies and procedures. The best deliverables are a combination of great communication for a positive physician-patient relationship, disciplined measurement and analysis of patient feedback and commitment to technology innovation – the formula for improving patient engagement and care.
The Link Between Patient Satisfaction and Long-Lasting Relationships
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Accountable Care and HealthIT Strategies Summit 2015: Still early days
Vermont’s Bold Experiment: A Rebuttal
Wanted: a GOP That’s Not Scared of Progress in Health Care

I hope we can get through this debt ceiling crisis relatively unscathed and then move on to a real debate about health care cost control before Medicare swallows us up.


TAGGED:debt ceilingMedicaidMedicare
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