The New Era of Healthcare: Practical Strategies for Providers and Payers Emad Rizk, MD Increased collaboration between providers and payers has the potential to reduce costs, improve processes, and enhance patient care. But a gulf between the two groups does the reverse--it leads to more expense and inefficiency in healthcare. The New Era of Healthcare: Practical Strategies for Providers and Payers focuses on methods to forge a partnership between the two groups. This book contains actionable strategies to develop a relationship of mutual understanding between payers and providers. The result is an alignment of clinical, administrative, and economic areas in which more efficient, cost-effective care is provided to the patient. Case studies demonstrate how the payer/provider relationship can actually benefit both sides. For example, in Mississippi, a Medicare program successfully signed up 40% of primary care physicians by clearly explaining the program that targeted at-risk poor, rural patients. Face-to-face group meetings helped win physician support, and with physicians on board, patients were more apt to take part in the program. Dr. Emad Rizk of McKesson Health Solutions provides practical examples to illustrate successful working relationships between payers and providers. This book will help enable readers to: Develop physician buy-in Impact healthcare at the local and regional level, where the majority of care in this country originates Establish portals that allow for information sharing between payers and providers Create incentive-based payment programs that engage rather than penalize physicians Fund electronic health records that provide access for the patient, physician, and health plan Streamline administrative processes and allowing for electronic claims processing The New Era of Healthcare: Practical Strategies for Providers and Payers is ideal for those employed by health plans, disease management providers, and physician practices, which are looking for cutting edge strategies that result in better outcomes, lower costs, and enhanced patient care. The strategies outlined in this book will benefit executives who have the ability to affect change in their organization. Take a look at the table of contents: Chapter 1: Why Payers and Providers Are Disconnected Chapter 2: What Is Needed: Three Types of Alignment Chapter 3: Getting Started: Creating a Pilot Project Chapter 4: Tools to Support Collaboration Chapter 5: Leading a Successful Partnership Chapter 6: Clinical Processes for Greater Cooperation Chapter 7: Economic Alignment: The Right Incentives Chapter 8: Achieving Administrative Alignment Chapter 9: A Model for Care in Pennsylvania Chapter 10: The Future for Payers and Providers

Explores the great potential for nursing involvement in promoting global health. This unique text elucidates the relationship between global nursing and global health, underscoring the significance of nurses’ contributions in furthering the Post-2015 Agenda of the United Nations regarding global health infrastructures, and examining myriad opportunities for nurses to promote the 17 Sustainable Development Goals (SDGs) and foster health and healthy environments worldwide. While past nursing literature has emphasized nursing’s potential involvement and influence in the global arena, this is the first book to identify, validate, and promote nurses’ proactive and multidimensional work in furthering current transnational goals for advancing health on a global scale. The book includes an introduction to global health, clarification of terms and roles, perspectives on education, research, and theory related to global nursing, a history of the partnership between the United Nations and the nursing profession, an in-depth exploration of the 17 SDGs and relevant nursing tasks, as well as several chapters on creating a vision for 2030 and beyond. It is based on recent and emerging developments in the transnational nursing community, and establishes, through the writings of esteemed global health and nursing scholars, a holistic dialogue about opportunities for nurses to expand their roles as change agents and leaders in the cross-cultural and global context. The personal reflections of contributors animate such topics as global health ethics, the role of caring in a sustainable world, creating a shared humanity, cultural humility, and many others. Key Features: Examines, for the first time, nursing’s role in each of the 17 SDGs Integrates international initiatives delineating nursing’s role in the future of global health Creates opportunities for nurses to redefine their contributions to global health Includes personal reflections to broaden perspectives and invite transnational approaches to professional development Distills short, practical, and evidence-based chapters describing global opportunities for nurses in practice, education, and research

Health Communication: Strategies and Skills for a New Era provides a practical process model for developing a health communication intervention. The book also explores exposure to media and how it shapes our conceptions of health and illness. Using a life stages and environments approach, the book touches on the patient role and how we ‘hear’ information from health care providers as well as guidance on how to be a thoughtful consumer of health information.

Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€"as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€"important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.

A New Era in U.S. Health Care demystifies the Affordable Care Act for unfamiliar readers, setting an agenda for lawmakers and the health industry alike. It focuses on four key issues that will determine the success of this 2010 legislation: the use of state-run Medicaid programs to expand access to insurance; the implementation process; the creation of health insurance exchanges; and the introduction of a new organizational form, accountable care organizations.

"This book provides an overview of the current healthcare legal and regulatory landscape, as well as some of the major challenges and opportunities we face in this digital-, virtual- and precision medicine powered era, covering systems integration, interoperability, portability, standardization, as well as ethical considerations"--

Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.