Remapping health care delivery. Multihospital system execs scope out the post-reform delivery world--and their place in it. Roundtable discussion.
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Biomedical subjects
Publications and source records attributed to G R Wolford.
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The challenge for leadership and the required changes are great. Our personal limitations include a limited view of the world and the threat of an overwhelming risk if one gets too far out on the limb. "Getting to go" will open up new and strange territories that will provide opportunity and failure for leaders. Capable leaders will pursue the opportunity. Threatened leaders will resist the change. For those leaders who feel that the managed care existing today provides the most cost-effective, quality outcome for the individual, his or her sponsor in the community, they will go no further. Unfortunately for many of us, managed care means a third party trying to micromanage patients (deductions, authorizations, and so on), employers (claims, incentives, and so forth), and providers (approvals, forums, payment, tricks, and the like). Providers need to go ahead and master efficient care. We owe that to the community and the third party nightmare of administrative overkill must be laid to rest. For those healthcare leaders who believe that managed care as a system focused on improving the health status of our communities is superior to our existing system, their individual goals and leadership focus must be changed accordingly. We cannot sit by idly and wait for the system to change us. Instead our obligation is to lead our organizations toward a new era in health care.
Managed care has clearly pointed the way to bringing health care costs under control. But the providers themselves, right now, must either take on the responsibility of more directly managing care, bringing utilization down, and sharing in the rewards, or they could find themselves asked to sacrifice while intermediaries prosper.
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Explore the source record for details and available documents.