June Gower – Value-Based Health Care System in the United States of America

Dr. June Gower

March 15, 2022

 

 

According to June Gower, The framework for transitioning to a value-based health care system in the United States is a new concept for most healthcare providers, who are still figuring out how to put the right systems in place to meet their needs. According to the Healthcare Information and Management Systems Society, the transition from a fee-for-service to a value-based system is the most significant challenge facing the United States’ health-care system today.. Despite the numerous obstacles, the transition to a value-based system has the potential to reduce healthcare costs while simultaneously improving the quality of care.

To achieve the transformation to value-based health care, an organizational change is required, which must begin with a segment of patients who have similar needs and characteristics as the segment being transformed. A co-located multidisciplinary team develops a comprehensive solution to meet those needs, based on a patient-centered approach and working together. The team collects data on meaningful health outcomes and service costs, and then uses the information to make improvements. Once the system has proven its worth, it will be able to expand its services and partnerships in order to better serve all patients.

June Gower

June Gower

A single-payer approach to value-based care is the most effective model because it has a clearly defined structure and financing model, as well as a clear, defined structure and financing model. Doctors and hospitals will be compensated under this model, with funds collected from private insurance plans by the government. This public option approach is in direct competition with the existing private insurance plans on the market. Depending on its scope, it could be either national or regional in scope, and physicians would retain their autonomy.

In this model, the amount of money spent on healthcare is directly related to the health of the patients. In order to improve the quality of care, healthcare providers organize themselves around clearly defined customer segments and provide services that are tailored to each segment’s specific needs. To put it another way, their services are intended to improve the health of their customers while also increasing their bottom line. The goal is to provide high-quality care to a greater number of people while simultaneously lowering costs. The priority is placed on providing high-quality care under this model.

June Gower describe that, Instead of being compensated for their time and effort, healthcare providers are compensated based on the quality of services they provide to their patients. Therefore, the patient-centered care framework represents a more patient-centered approach to healthcare delivery. Furthermore, it is concerned with the medical condition of the patient rather than the narrow interests of the participating entities. Patients will reap greater benefits as a result of this.

The framework for value-based care is a critical step toward achieving value-based health care in the United States. Many aspects of the health-care system, including the financial infrastructure, must be transformed in order to achieve this. It is the primary goal of traditional for-profit health systems to place people in beds and to put systemic business incentives in place to achieve this goal. However, by establishing a strategic framework in a value-based health care system, these difficulties can be overcome.

The Institute for Healthcare Improvement has identified three main goals for value-based health care: improved patient experience, lower per capita costs, and improved health of populations, according to the organization. The Affordable Care Act and the implementation of this new paradigm have completely transformed the healthcare system in the United States by instituting a value-based health care system. Many models developed by the Institute for Healthcare Improvement have been adopted by commercial payers, albeit with slight variations.

June Gower Revealed that, In order to successfully implement value-based health care in the United States, healthcare organizations must first adopt a payment policy that is not dependent on the location of the patient. The current payment policy is site-based, which can have a negative impact on the overall quality of care. A payment system that is not dependent on the location of the patient could improve the patient experience while also preventing overutilization of high-cost services. It also promotes greater competition among health-care service providers. Only in this manner can a value-based system in the United States be fully embraced and embraced fully.

The most important factor in ensuring the successful implementation of a value-based health care system is to prioritize primary care. It has to be affordable for all stakeholders, including patients, payers, and health-care organizations, in order to be effective. Any high-value healthcare system is built on the foundation of these three components. This is the key to making it work in the United States, according to the experts. The most important component of this transformation is a model that is well-designed and affordable.