Changing Landscape of Health Care

Topics: Health care, Medicine, Health economics Pages: 5 (1036 words) Published: July 1, 2014


The Changing Landscape of Healthcare System
Margie R. Collins
HCS/490 Health Care Consumer - Trends and Marketing
June 23, 2014
Mr. Lance Danko
The Changing Landscape of Healthcare System
“We do not have a health care crisis in this country - we have a health crisis with a health care system incapable of dealing with it.” ~ Mike Huckabee, Former Governor of Arkansas “We have to move from illness to wellness. Businesses will have to invest in wellness. There is no choice. It’s not philanthropy. It’s enlightened self-interest.” ~ Shrinivas M. Shanbhag, Medical Adviser, Reliance Industries, India “Our vision should be to have the healthiest people, not just the best health care, in the world. With prevention and wellness as the cornerstone of our health policy, we can be number one in both.” ~ Newt Gingrich “ Shifts taking place

The healthcare industry is approaching an exciting model shift in patient engagement as we move away from being a mostly provider driven industry to a consumer driven one. Much like the financial, music, and publishing industries in the past, healthcare is becoming a mobile, consumer -driven industry. In this consumer driven model, patients drive healthcare industry spending and can receive and transmit health-related data in real-time. The main causes for this shift are the Affordable Care Act (ACA) and changing health insurance coverage. These changes have allowed for greater access to, and demand for, health information through smartphones and patient portals. The use of mobile medical devices and technology also empowers patients to take on and share responsibility for recording and transmitting their own health-related data. Under the Affordable Care Act, health insurance exchanges now give patients the option to shop and compare plans in order to determine which has the best value for their individual needs. Being able to compare plans metrics such as premiums, copays, and direct payments side-by-side creates greater cost transparency than ever before in healthcare. These cost transparency and the ability to ultimately determine which coverage is right for them gives patients the power to become active healthcare consumers, rather than passive participants in the current system. As healthcare consumers, they expect to have the best quality of care and value the customer experience above all else. Under this new model, patients are empowered to closely monitor their healthcare spending and their own health, interact with the healthcare system outside the hospital walls, and employ the use of technology to improve their conditions. Current and potential challenges

Americans have seen a raise in health care expenses during the 1980s, the results were extensive; managed care were assumed by employer-sponsored health plans. To a certain extent, managed care methodologies were implemented for some Medicaid and Medicare enrollees. During the 1990s, new Medicare reimbursement policies and the well-known acceptance of managed care plans had noticeably reduced the growth rate of health care expensive. All available studies show that Health Maintenance Organizations (HMOs) and other managed care plans have provided health care of equal or better medical quality to out-of-date covered insurance plans at a lower cost. While the country’s economy grow stronger during the late 1990s, anxieties about overall health care costs diminished, “and the public became less willing to accept restrictions on the enrollee's choice of physician and the physician's treatment choices” (Luke, 2001). Health care recipient’s outlook “turned against the concept of managed care as a result of backlash from both physicians and consumers.” (Luke, 2001) How health care is handling challenges. Many of the challenges Academic Medical Centers (AMCs) face in the current environment are well understood and widely recognized even if the solutions are not. Faster provider consolidation, both horizontally and vertically,...
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