Camelot, Nazi’s, Truth, Love, and God
Todd Gifford, MBA
Ask not what Medicare can do
for you but what you can do for Medicare.
We find ourselves frozen; unable to move because we are
overwhelmed by the sheer size of the tsunami of health Care Chaos headed our
way.
We know the system can’t maintain the sins of our past.
If we continue on our current path, the system will be bust
by 2024.
I was born March 16th 1968, the moon was blood red and this
happens to be the exact same date that the Mei Lai Massacre occurred in Vietnam.
One of the darkest chapters in American Military history .
Robert Kennedy and Dr. Martin Luther King were both targets
of an assassin’s bullet in 1968
For those of us that enjoy history, I harken you back to the
time of JFK’s inauguration when the nation was filled with optimism. After
Kennedy had played hardball with the Russians and Castro during the Cuban
missile crisis and his strategy proved correct, we were not a Nation to be
toyed with.
I reference Kennedy’s inauguration speech because we have
stared the enemy in the eye in relation to Health Care’s cost and he is us.
We all share a responsibility to act as a solution as
opposed to the problem.
The Provider’s role in our ongoing saga cannot be
discounted, we know that if the physician is not engaged we have an almost
impossible obstacle to overcome.
The supporting staff
that surrounds the doctor has just an important role to play, often the staff
has more face time with the patient than the provider and we must up train our
staffs to take on more responsibilities toward the delivery of more efficient
care.
The insurers have to create innovation and pricing that
allows freedom for the physicians to deliver care and not create burden and
hardship for the doctor/patient relationship.
Prevention is the
cure and education is the key. We must facilitate the transition to patient
centered care which lies ahead and the only way we can successfully do this is
with a more engaged patient that is taking greater responsibility for their own
care. While we ask doctors to perform miracles, some folks are just simply
non-compliant and we have to find a solution to keep closer contact with the
members with poly morbidities.
Disruptive innovations with technology will allow us a
closer touch within the system to provide better care to the difficult members
that have an inability to get to the doctor’s office.
I work for an MSO that has long known the value of providing
transportation to our members , whether they need to go to the pharmacy, or go
see a specialist or whatever medical need may arise we know that if we have a
transportation in place for our members ,compliant patients consistently fare
better and the cost of their ultimate care is far less expensive and I contend
a much happier member that is satisfied with outcomes far better than those
that basically access care through the A and E or ED and do not enjoy a regular
relationship with the Primary Care Physicians.
Wellness habits have to be instilled in patients, they
simply must adhere to a program of moderation.
Exercise, Diet, No tobacco and little if any alcohol.
While we can remind the member of their responsibility to
adhere to regimens set, we cannot force people do what they do not want to do,
but a stronger effort must be made and to create a healthier patient. We need a paradigm shift of focus toward
prevention rather than maintence.
I spent two and a half year in London, England running a
startup whose goal was to introduce Managed Care to the National Health System
and revolutionize the way a Nation delivers care to it’s citizens.
The current business model in the U.K. is one in which the
physician works within his four walls and waits on the patient to present with
whatever malady they be suffering from and he or she treats patients
accordingly , No one is getting reminder
calls to come for their A1C checks in London. Outreach does not exist in the
NHS.
Our current leadership is struggling with the implementation
of ACA/Obamacare, and while I could not agree more that change is needed, I
question the present strategy of seeking whistle blowers to find fraud, waste,
and abuse. The teller of tales will be compensated to expose malfeasance, while
I agree we must collectively find an answer. I struggle with the creation of an
environment where accusations can create an unsubstantiated claim against the
innoocent. We need not create a Nazi
state, where one neighbor who has been insulted, real or not, can retaliate to
cause problems and the hope of getting 10 to 25% of monies recovered.
No comments:
Post a Comment