Surprised billing results from doctors and hospitals negotiating with payers. When the rate of reimbursement for services is lower than a provider is willing to accept patients from that insurer are "out of network." When services are rendered the patient may be charged double or triple the usual rate. Current legislation looks to fix the problem. This is a discussion with a doctor, hospital and payer about current solutions.
Dr. Teisberg and her colleague Dr. Michael Porter helped define “Value Based Healthcare” in their seminal HBR article and later book, Redefining Healthcare. However, the definition of value is often interpreted differently by different stakeholders in the healthcare system. Dr Teisberg reviews the impetus for her original work and puts it in context for how we might think about the future.
While doctors say if telehealth were compensated they would use it, I disagree. For doctors to move their practice to the cloud, telehealth needs to be better- generating more money per hour spent. However, there are ways to get there. For telehealth to spread, we need to stop competing with the past, the traditional in person visit, and think about the practice of the future.
JP Morgan Healthcare Conference brings out investors, hospitals and companies, all ready to build the future products we'll use to care for one another. But this year it was a Lyft ride to the conference that was most memorable.
"Sales" is something of a 5 letter word in healthcare, somehow beneath doctors and nurses. However, if we can't sell our diagnoses and treatments to our patients, it's not likely they'll get better. Martyn Lewis, an expert in selling discusses the overlaps.
While many of us object to pharma's efforts to manipulate us, there is something to be learned. How messaging could improve compliance would ultimately allow better healthcare outcomes. Dr. Michael Mackert discusses the issue and opportunity.