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So you want to improve the quality of health care. But what, specifically, should you aim to improve? In this video, IHIs Former CEO Don Berwick describes a 2001 report by the Institute of Medicine, Crossing the Quality Chasm, that laid the foundation for health care reform all over the world.
Hint: single-payer won’t fix America’s health care spending.
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Americans don’t drive up the price by consuming more health care. They don’t visit the doctor more than other developed countries:
http://international.commonwealthfund.org/stats/annual_physician_visits/
But the price we pay for that visit – for a procedure – it costs way more:
http://static1.squarespace.com/static/518a3cfee4b0a77d03a62c98/t/57d3ca9529687f1a257e9e26/1473497751062/2015+Comparative+Price+Report+09.09.16.pdf
The price you pay for the same procedure, at the same hospital, may vary enormously depending on what kind of health insurance you have in the US.
That’s because of bargaining power. Government programs, like Medicare and Medicaid, can ask for a lower price from health service providers because they have the numbers: the hospital has to comply or else risk losing the business of millions of Americans.
There are dozens of private health insurance providers in the United States and they each need to bargain for prices with hospitals and doctors. The numbers of people private insurances represent are much less than the government programs. That means a higher price when you go to the doctor or fill a prescription.
Uninsured individuals have the least bargaining power. Without any insurance, you will pay the highest price.
For more health care policy content, check out The Impact, a podcast about the human consequences of policy-making.
https://itunes.apple.com/us/podcast/the-impact/id1294325824?mt=2
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Everyone who works at the Cleveland Clinic is committed to their piece of the puzzle of quality and patient safety. Safety for patients and visitors starts when people set foot on the campus. Everyone can come up with multiple ways in which what they do impacts patients. Its not good enough to be doing well for the measure thats out there, we should be defining what a new measure is, taking the care that we give to that extra level of excellence. The standard thats out there is the low bar.
http://bit.ly/aTYBVl Video Rating: / 5