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Friday, June 30, 2017

Policy reforms and recommendations



To achieve my promise that the blog dedicated to talk more about healthcare and associated systems than politics, but in this post would like smoothly to touch policy of healthcare and most common strategies pathways. The matter of policy is a wide subjective topic but numerating the core points that own a significant role on medical care and associated work. It means there is no one opinion right or other not, all under experiments and proved experiences where end result would be define what is fit for that society and does not work in awaited yields. Moreover; there are some working strategies proved previously with certain communities while failed with other, there is no regular and fixed standards actually could control the process more than demanded and required results and how far those results are useful to attain the care and health welfare of the society members. In other word, different results with different policies can lead to less valuable results whereas the same policies and proved pathways will produce more valuable gains. Up or down; there are meaningful context among governments and authorities matching each of their society needs.

In coming paragraphs reviewing different work policy models could achieve basic demands and gains for who interest in implementation  fair high experienced strategic policies in healthcare with proved formerly gains;

-Promoting a flexible payment reform strategy in public programs: commercial payers could support flexible payment strategies and government should work on keep the variances in services as near as possible with gaps in daily dealing work. Government exaggerate could accept paying per service, robust paying per performance and also hybrid and dual form of payment approaches. Again; paying per performance payment approaches works well in many communities if over there some tools and mechanisms have the ability to do appropriate measurements to the nature and level of performance precisely although; paying per service more recommended and more commercial in nature. Following case rate and capitation based contract the main attributes of the policy, from other side creating incentive bundles of centralized gate service promote the integration among the service providers and build competition spirit for proper implementation.

-Promoting public reports: public reports allowed the patient to be central part of the whole care process and exaggerate the self awareness of care and empower the patient to be authorized to manage and monitoring case needs. Through well structured reports reviewing the patient efforts and implemented hand in care management would be synergistic impact between the care provider and the patient. Government could participate to open the platform for feedbacks and demanded needed corrections with public innovative recommendations.

-Develop a commission to oversee system innovations: open the door for innovation and creation in healthcare serve the demographical distribution among the society citizens and also enrich the process of constructive criticism which guiding the research to solve the problem outside the tradition boxes. 

-Provide government of accountable sight organization (ACO):  as mentioned before that accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other health care providers, who joined  together voluntarily to give coordinated high quality care to their Medicare patients on certain service standards. Although there are many involved ACO program successfully applied in US such as; Medical shared savings programs, advanced payment ACO model and pioneer ACO model. There is necessarily to measure end results variances for each that would reach high bench market standards of provided service and keep supporting the integration with centralized pattern. Full health J

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