Patient Central? Or surely not
by Derrick Corea Technosoft Innovations, Inc2014 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 :
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.
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Created on Feb 12th 2019 06:06. Viewed 234 times.