Articles

Patient Central? Or surely not

by Derrick Corea Technosoft Innovations, Inc

2014 is still very little to note. It is all the more apparent that the health insurers are taking the leg off as a third party; Specialists are still quite powerful within the institution walls. Patients and consumers I still see far too much as tame lambs accept the care offered and possible reimbursement thereof.

I should like to look at it with astonishment, I have to make my compliments to the health insurers because they are taking full advantage of the opportunities they receive. They sit at the wheel and determine more and more for you and me what tools and what care is offered (and for what amount). This is true in outpatient care and men and women's specialists, make your chest wet; You will also have the turn in the settings!

 

Health insurers in power

 

This shift of power to health insurers worries me as a consumer and as a representative of the manufacturers of medical devices. The patient Central? Yes, as long as it fits into the 80-20 rule and as long as it fits within the range on which we have cost the relevant care. If the care costs are higher, we would have to go back to the care plan according to Mr. Hammon's system to see if this patient has got the right solution in the care question he/she has. This whole thought, which in the outpatient care is called the legally entrenched performance description and claim, still has no good effect on many of the care questions in practice. Health insurers are given all the space to send to ' maximum damage burden ' and are certainly willing to leave the content of care to the field within those frameworks. But... because the field has the opportunity to attract the initiative, the health insurer is not held back in the ambition of a surge in power.

 

What is the role of the professional and patient : medical product development

 

Let the health insurer determine the ' what ' of the care. Ladies and gentlemen patients and professionals; You, you determine the ' how '. If this is not the case, then I cannot blame the health insurer for being able to do so, and thus to determine not only the frameworks but also the (economically driven) implementation of this.

 

Do we (AS) field parties want to implement the situation that has been a reality since 2006? If we can properly explain to the health insurers what care and resources the patient needs to solve the disability as much as possible, then the insurer may withdraw from this area. Then we have to speak the same language run same system apply. When, as manufacturers, we can also show that the tool does what it seeks, the health insurer has no more complaining at all.

 

Directive on performance-based entitlements

 

The starting points of that unit of language and system are already available: The process description tools, translated into a guideline performance-based claim, for all types of devices available to patients and consumers. With the field presentation indicators put on it and voila, the system should be able to work.

 

As field parties, create the opportunities to give patients the power they are entitled to. This allows us to put the patient centrally in the system. And it is the foundation under quality of care.

 

So fast going! When we can show to the health insurers what we mean, then it is no longer the insurer at the wheel, but the patient and will still get his sentence.

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About Derrick Corea Advanced   Technosoft Innovations, Inc

27 connections, 0 recommendations, 100 honor points.
Joined APSense since, January 2nd, 2018, From Suite C Morrisville, United States.

Created on Feb 12th 2019 06:06. Viewed 234 times.

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