Waste, fraud and abuse in health care facilities have on health will stop customers economically and ultimately, the decline in quality. The United States of America is one of the biggest challenges for the strategy and ideas, people with medical facilities for quality, coverage and support, especially economically. It 'explained "by eliminating fraud and abuse in health" part two, that customers are concerned with health, their range is noYears and their bags do not allow them to have quality and economic health. Obama popular and friendly "ideas to reduce costs, increase the quality, reduce waste, fraud and abuse, not least, the customer's choice in health care.
One goal is to bring innovations in the health sector and develop a system that can bring the restrictions in the health sector. By the way, there is a need to take a look, take what the Obama health reform planis it?
Barack Obama's health reform plan
Obama sees the health care system so perfect that not a single American health suffers. It focuses on reforms and his plan estimated cost is about $ 50 to $ 65 billion ° The most important factors in Obama's interest are the following:
1 Quality, affordable health insurance for all, and Portable.
2 Modernising healthcare in the United States to reduce costs and improve quality
3 Promote the Prevention andStrengthening public health.
A central aspect of this plan is the statement that every family to save about $ 2,500 a year. The plan provides information on health technology investment for the fall of unnecessary costs, the center of preventable errors and inefficient paper billing systems. It will also help to prevent the organization of persistent and circumstances. The preparation is needed to increase competition in the insurance industry and reducing underwriting costs and profitsIn order to reduce insurance costs. Health insurance should be universal, reduce spending on uncompensated care.
Critics say that cost shifting rather than cost reduction in this plan. Obama stresses the creation of another program like Medicare or under-65 years is a thought dear. It also wants to expand government programs Medicaid and Schip. Obama makes investments in health information technology is an essential element of its cost controlStrategy. This is the point of discussion. The only way to deal with all these problems with the technology significantly. To improve the quality of the Obama plan, steps can produce results. It includes programs for disease management, coordinated care, transparency of costs and quality of care, improve patient safety, aligning incentives for excellence, comparative effectiveness reviews and to reduce disparities in medical treatment for the disease.
Theto reduce the three key points to the inefficiency and abuse and quality of health care are:
or adoption of state-of-the-art health information system technologies.
or ensure that patients receive and providers deliver the best possible care, including preventive services and chronic disease management.
o The reform of the market structure to increase competition and availability of reinsurance for federal employers to ensure that unexpected or catastrophic illnesses do not make healthIndefensible or inaccessible for insurance companies and their employees.
The third point of Obama's plan is to promote the prevention and strengthening public health. By the way, he thinks, employers, school systems in the world of work and the medical and health needs of federal and state governments and local authorities play their role. Employers are offered or on-site clinical preventive services, such as flu vaccinations, hygiene, food canteens, etc., workshops, seminars and training coursesPrograms should be kept in schools to educate children. Finally, the government has to effectively use print and electronic media and other ways to create awareness among the people.
Problem area
Health care costs have increased and health insurance have gone well in recent years, with nearly 3.7 times faster than doubled to fit employees' salaries. About 100,000 Americans die from medical errors in hospitals each year 1 staffThe failures are higher than ever because of the lack of health services at affordable prices. More than 45 million Americans, including more than 8 million children without health insurance. 80% of uninsured working families. Intensification of health care costs make it extremely difficult for employers, especially small businesses, to confer with health insurance to their employees.
The basic problem is that until a plan or if it is running, things will not change. They will remain static. The statementthat every American family saves $ 2,500 a dream when there is an appropriate strategy and its implementation. There must be a proactive approach to address these problems. The heart of the strategy is to eliminate waste, fraud and abuse in health care. As discussed before there are a lot of statements and thirst for improved health care, but nobody talks about the center point. With only say: "Reform of the structure of the market" or "the adoption of state-of-the-art healthComputer system "and" Ensuring that patients receive and providers deliver the best possible care "in health care would not improve. You have to do with the practical approach and a" system "that can actually deal with these problems.
To take measures to prevent fraud and abuse
The "system" in order to perfect, to accomplish what is promised. The Americans are in a difficult period of recession. And 'the primary task of the Statedeliver what is promised. There are some important steps taken to ensure the highest quality.
- Anyone involved in service providers, the flow of information to be exact.
- This is absolutely fundamental to the Data Reporting System set-up that can accumulate or transfer of such information, the meeting can reduce fraud and abuse.
- The data to meet existing reporting systems do not create enough information to provide every means of reducing the potentialFraud and abuse.
- There is a strong need to make extensions or wrong is an addendum to the existing one.
The first problem occurs when the measures to prevent fraud and abuse are considered satisfactory. The CMS has much more potential for recovery, as they currently rest. It 'certainly not what is discussed from fraud and abuse? And how does it occur? A unanimous manufacturers plan the strategy is to avoid preventive measures against fraud and abuse. If fraudand abuse is actually develops more the need of identification is required. It is assumed that the identification of improper payments is reasonable. Here's the problem, the CMS (Centers for Medicare and Medicaid Services) came with RAC (Recovery Audit Contractors), and could only 0.3 percent (1.03 billion dollars) of loans, while keeping the total of 317 billion Medicare claims to identify payments for review. Just because the amount of recovery is high councils aresatisfactory, but the rate of recovery or very close to the ground.
References
1 Linda T. Kohn, Janet M. Corrigan and Molla S. Donaldson, Editors, Committee on quality of health care in America, Institute of Medicine (2000). To err is human. Washington, DC: National Academy Press.
