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Conservative Medicaid experts pointed out that some of the proposed cuts would likely overlap, rendering it misleading to simply add them all up. Other experts suggested that some of the proposals could potentially reduce Medicaid spending even further than congressional leaders estimate, potentially resulting in more than $2 trillion in cuts and potentially pushing millions of people off the program.

Medicaid, which provides health insurance to 80 million low-income and disabled Americans, cost taxpayers $870 billion in 2023.



#nprnews #news #democracy #trump #elonmusk #fireelon #healthcare #healthcaresystem #medicaid #medicare #healthinsurance #unitedstates #usa #newjersey #nj
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@kkarhan @josephinelee

We are more in agreement than you think IMO. "Mitigating the greater damages..." is what the 500 individuals in my example achieve. (It is a thought experiment after all.)

I'm not going to debate the #HealthcareIsAHumanRight issue here due to limited space. Suffice it to say, any #HealthcareSystem that does not provide AT LEAST the basics for everyone present in a society is not doing its job!

One problem in the US is we don't actually have a #healthcare system. We have a collection of partial solutions that in no way add up to a comprehensive #System. This leaves the doors wide open for fraud, waste, and abuse.

Private #HealthInsurance is only a solution if you have it, or can afford to get it.

"The current U.S. system of voluntary employment-based health benefits is not the consequence of an overarching and deliberate plan or policy. Rather, it reflects a gradual accumulation of factors: innovations in health care finance and organization, conflicting political and social principles, coincidences of timing, market dynamics, programs stimulated by the findings of health services research, and spillover effects of tax and other policies aimed at different targets."

Origins and Evolution of Employment-Based Health Benefits, National Academy of Sciences (1993)

The article centralizes its claim on the idea of adopting competition in health care as the main solution to the current unreliable, inefficient and expensive American system. Despite the numerous solutions proposed and implemented on improving health care in the country, the care remains to be chaos. Other sectors in the economy manage to deliver on quality and efficiency through competition. Health care organizations have resulted in controlling competition by taking up market share and improving their bargaining power with suppliers and insurers.  Healthcare providers need to be rewarded for value delivered in Limited reimbursement-based incentives to put off the performance unrelated to hospital ranking that is characterized by less focus on delivering patient-centred value and loose penalties. Limited market-share incentives are also a barrier to improved market competition in the healthcare sector. Consumers have been mildly interested in the quality metric data generated during health care processes and have as a result had very little to bargain with in the improvement process (Dafny, Leemore, et al., 2017). Data collection and analysis of individual patients and procedures by health care providers are rarely under scrutiny. leaders have not managed to nurture high-performing teams and perfect the art of lean management especially in making data-driven strategic choices to improve efficiency.

There is however a shift in the health care sector environment towards improving market competition. Vast advancements in information technology and a change in health care leadership are providing more insight and causing a critical turning point. There is now an emergence of better incentives and standards for measuring health outcomes and widespread data sharing (Dafny, Leemore, et al., 2017). Medicare has for example prioritized delivering patient experience and has a mandatory data outcome disclosure. Today’s leaders in the sector are younger and with a greater value for teamwork, innovativeness, diversity and recognition of managerial skills. Work value-based payments in the health care sector encourage overutilization and inefficiency, standardised ways to pay for value in both public and private sectors should be developed and on a common payment structure. The Medicare and Medicaid government programs have been commended as change agents. Their adoption of mandatory bundled payment programs has promoted value-based models in health care.

Evaluation

The article offers insight into the effects of the mergers that have been most recently popularized by health care leaders. They have not managed to enhance any value to the system, especially in terms of price lowering and have as noted  scaled up the problems of the system without presenting any solutions. Health care is today understanding that consolidation is diminishing the sector’s potential to thrive in the long run and has managed to develop a new competitive marketplace. As an emerging space, it is up to of  healthcare participants to deflect and play their roles in transforming the healthcare sector.

Conclusion

Change in healthcare calls for a provision of a value-driven marketplace aimed at providing integrated, efficient and coordinated care. Fear of losing market share to the competition should therefore be squashed to create room for choice. With choice, winners and losers are distinguishable and therefore easier to push for improvement. healthcare providers have to be at the forefront of this change; to recognize and embrace the new value rewarding models and well as cooperate with other healthcare players in the development of new care delivery systems.

Reference

Dafny, Leemore, et al., (2017). “How to Bring Real Competition to the Health Care Industry.” Harvard Business Review. https://hbr.org/2016/12/health-care-needs-real-competition.

https://thegmetalworks0.wordpress.com/2024/10/15/competition-in-the-health-care-system/

Harvard Business Review · How to Bring Real Competition to the Health Care IndustryThe U.S. health care system is inefficient, unreliable, and crushingly expensive. There is no shortage of proposed solutions, but central to the best of them is the idea that health care needs more competition. In other sectors, competition improves quality and efficiency, spurs innovation, and drives down costs. Health care should be no exception. Yet providers and payers continue to try to stymie competition. Many are actively pursuing consolidation, buying up market share and increasing their bargaining power. In this article, the authors argue that health care payers and providers must stop fighting the emergence of a competitive health care marketplace and make competing on value central to their strategy. All stakeholders in the health care industry—regulators, providers, insurers, employers, and patients themselves—have roles to play in creating real competition and positive change. In particular, five catalysts will accelerate progress: Put patients at the center of care, create choice, stop rewarding volume, standardize value-based methods of payment, and make data on outcomes transparent.

‘The Gosling Effect’ isn’t about Ryan, the Canadian actor.

It’s about the power of altruism, and the impact of Kevin Gosling, an ordinary Canadian who made a decision to make an anonymous donation of a part of his liver. His persistence changed the health care system and the way unrelated organ donors are viewed.

He is however an uncle to Ryan, in the very large Gosling extended family.

A comprehensive feature from The Ottawa Citizen reports on the transformative impact of Kevin Gosling and the others donors for whom he cleared the path.

‘A total of 2,936 organ transplants were performed in Canada in 2022. Eighty per cent of those transplants used deceased donor organs and 20 per cent used living donor organs. Fifty-two per cent of those living donors were related to the recipient. Forty-eight per cent were unrelated. . .

. . . And yet, outside of Canada, there is still a lack of understanding of how someone can be willing to give part of their organ to a complete stranger.

Dr. Nazia Selzner, who is the medical director of the live donor liver transplantation program at UHN, said she is frequently asked when he travels the world: “What is wrong with these people that they want to help someone else and go through a major surgery?”’

ottawacitizen.com/feature/the-

Ottawa Citizen · The Gosling Effect: How one man (and his liver) forever changed Canadian health careBy Elizabeth Payne

Who is' Business for Health' (#TinaWoods, CEO) ?

I don't know who they are. But I do know they moan ad nauseum about how the #UK is obsessed with the NHS and how 'that needs to change'.

And they glowingly bang on about how #MilkshakeFarage wants to reform (pun intended) the NHS.

Tina Woods and Business for health can fuck off.

Sounds to me like a pack of capitalist 🇺🇸 wankers from the States 🇺🇸 trying to privatise the #NHS 🇬🇧

Does anyone know who they are?