Subject(s)
Health Policy/trends , Societies, Hospital/organization & administration , California , Centers for Medicare and Medicaid Services, U.S. , Delivery of Health Care/trends , Health Care Reform , Humans , Managed Care Programs , Medicaid , Nursing Staff, Hospital , Patient Transfer , United StatesSubject(s)
Health Care Reform/legislation & jurisprudence , Medicaid/legislation & jurisprudence , Social Welfare/economics , State Health Plans/legislation & jurisprudence , California , Capital Financing , Emigration and Immigration/legislation & jurisprudence , Humans , Insurance Coverage , Medicaid/economics , Social Welfare/legislation & jurisprudence , State Health Plans/economics , United StatesSubject(s)
Medicaid/legislation & jurisprudence , State Health Plans/legislation & jurisprudence , California , Capitation Fee , Community Participation , Health Benefit Plans, Employee/legislation & jurisprudence , Managed Care Programs/economics , Managed Care Programs/legislation & jurisprudence , Managed Care Programs/organization & administration , Managed Competition , Medicaid/economics , Organizations, Nonprofit , State Health Plans/economics , State Health Plans/organization & administration , Taxes , United StatesABSTRACT
If Medicaid is given back to the states in a form that caps federal funds, many states with growing poor populations will be severely damaged... Services will be cut back, access will be compromised, maintenance and replacement of buildings and equipment will be delayed and new technology will not be acquired. Eventually services will be terminated; institutions will close or will relocate to areas where they can survive.
Subject(s)
Health Expenditures/legislation & jurisprudence , Medicaid/organization & administration , State Health Plans/economics , Budgets/legislation & jurisprudence , Evaluation Studies as Topic , Health Resources/supply & distribution , Medicaid/legislation & jurisprudence , Medically Uninsured , Poverty , State Health Plans/legislation & jurisprudence , United StatesABSTRACT
Hospitals are reacting to health care reform by forming collaborative physician/hospital organizations and other ventures. The success of these new partnerships depends on what shape the reformed system takes and establishing trust between all players.
Subject(s)
Continuity of Patient Care/organization & administration , Health Care Reform/trends , Hospital-Physician Joint Ventures/trends , California , Capitation Fee , Health Care Reform/organization & administration , Hospital-Physician Joint Ventures/standards , Interprofessional RelationsABSTRACT
Following is Part II of an excerpt from the recently published book, The Health Care Solution: Understanding the crisis and the Cure, by C. Duane Dauner. Dauner paves the road to reform in his book by providing a step-by-step solution to ending the nation's health care crisis. Part I can be found in the January/February edition of California Hospitals magazine.
Subject(s)
Delivery of Health Care/organization & administration , Health Care Reform/organization & administration , Community Health Services/organization & administration , Comprehensive Health Care/organization & administration , Insurance, Health/economics , Reimbursement Mechanisms/organization & administration , United StatesABSTRACT
Following is Part I of an excerpt from the soon-to-be released book, "The Health Care Solution: Understanding the Crisis and the Cure" by CAHHS CEO/President C. Duane Dauner. Dauner paves the road to reform in his book by providing a step-by-step solution to ending the nation's health care crisis.
Subject(s)
Delivery of Health Care/economics , Health Care Reform/economics , Financing, Organized/methods , Health Benefit Plans, Employee/economics , Health Services Accessibility/economics , United StatesSubject(s)
Health Policy/legislation & jurisprudence , Politics , State Health Plans/legislation & jurisprudence , Budgets/legislation & jurisprudence , California , Cost Control/legislation & jurisprudence , Demography , Florida , Insurance, Health/legislation & jurisprudence , Minnesota , State Government , United StatesABSTRACT
Patients are the top priority of physicians and hospitals. Access to cost-effective, medically necessary quality care in the most appropriate setting is the overriding consideration. Economic realities are a new dimension which must be managed within the context of quality care. Collaboration and cooperation between hospitals and medical staffs are essential. Through timely, meaningful communication, hospitals and medical staffs can meet the needs of patients and serve the best interests of the public. CMA and CAHHS are committed to supporting this collaborative relationship through leadership in public policy and promotion of responsible positions. CAHHS and CMA will offer a joint program to assist hospitals and medical staffs resolve conflicts.
Subject(s)
Credentialing/economics , Medical Staff, Hospital/standards , Organizational Policy , California , Conflict, Psychological , Interprofessional Relations , Practice Patterns, Physicians'/economics , Societies, Hospital , Societies, MedicalABSTRACT
Health is on center stage at the state level. In virtually every state, legislation has been enacted or is pending. The momentum being generated will create multi-dimensional health reforms. Regardless of loyalties to the traditional law-making process, initiatives are likely to spread throughout the nation when society or special interests reach the point that relief or protection becomes more important than process and political considerations. States may compete for federal funds, Medicare contracts and special grants to sustain their health plan. Whatever the case, it is incumbent upon hospitals to unite, form the strongest possible coalition and exert the leadership to achieve enactment of a health plan that meets the needs of their residents. Only through listening to our publics and exercising the best of our intellect and ingenuity can we make progress with improvement.
