A recent study offers one of the first, if not the first, in-depth national analysis at the pace of the transition from expense management to models in light of established payments related to results. The study evaluated the review responses of more than three hundred executives and interviews with more than a hundred key decision makers on health transport organizations in the United States. The study was conducted by Numerof and Associates, a health strategy consultant, and found that most health care providers continue to loiter over the population’s health management, despite the broad agreement that health management of the population is important for the future performance of the market.
The management of the health of the population has progressively become an important topic of conversation, but in reality, very little has been done. The majority of the respondents rated the health of the population as “critically important” for the future achievement of their organization, and above all the trusts that is more than “something important”. However, when asked if your organization was in at least one agreement with a payer that incorporates some type of collection or return opportunity, respondents said that 20% or less of their organization’s income moves through them, leaving the health of the population in the domain of the “action experimentation plan”.
As stated by Dr. Rita Numerof, president of Numerof and Associates, “US health parties are starting a period of surpassing change and disruption than any industry on this side of taxis. He finds that most of the suppliers are still testing these models and to date, there is still much more to talk about in terms of managing the health of the population. ” Numerof hopes that the push for esteem will continue to accelerate as the “wait and see” approach that many organizations have adopted is quite dangerous.
Michael Abrams, the supervising partner of Numerof and Associates, is confident that “traditional players in the payer, supplier and manufacturer spaces are struggling simultaneously not only with the question of how to change, but also with the speed. pioneers are gaining genuine ground, but in general, we are still far from where we should be. “They can wait longer to take charge of the lessons of the Medicare experiments and prepare for a reality in which “there will be no result or salary”.
In the midst of the interviews, some participants spoke about “terrible memories” of past efforts to change medical care, and how those memories and past encounters are affecting the organization’s receptivity to change. A vice president of a school therapeutic center of national perception offered the accompaniment in the middle of an interview: “We are at the beginning of the health efforts of our population … However, we doubt the past meetings with the capitation. the 1990s, we look for strength after capitated payments, resulting in around $ 200 million in misfortunes. “In addition to including hesitation based on terrible memories of the past, the inheritance of common distrust and antagonism between suppliers and taxpayers is facilitating the transition to new action plans. A director of operations of a health care network worthy of mention was quoted: “Most of the payers we have received are not enthusiastic about partnering with us about the health of the population.” The barely finished portion of the respondents found that taxpayers are more than “somewhat anxious” to enter into cost / quality risk agreements.
Economic incentives are miserable, and, as a result, the study found that when providers move forward, they tend to rely on being driven by the mission and trusting it is “right”. Respondents who expressed their mission or culture as the main driver of group health efforts reported a greater proportion of income in alternative payment models, in contrast to organizations whose essential motivation is monetary or market-based.
Finally, and somewhat surprisingly, the different definitions of “population health” are, according to all versions, an obstacle to progress. Some groups even expressed that multiple definitions are used internally, which caused confusion about the organization and hampered any effort to implement genuine improvements. The authors of the study trust that the internal definition of health of the population has “genuine implications for the rate at which the organization can boost its initiatives based on esteem and also what specific initiatives are prioritized over others”.
In total, despite the broad support and agreement among health service providers that the management of the health of the population will be important for their prosperity, little or nothing is applied. Many suppliers feel stressed by being at the forefront of the market or facing potential misfortunes, which are substantial concerns, but by waiting to resolve decisions and changes, they may be in danger of not being able to keep up with the change while continuing speed up.