Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD – Chief Medical Officer
June 21, 2018
The trend of reducing health care costs through global capitation and aggressive contracting from payer/provider integration has and will continue to expand in the health care market. This combination will provide a solid singular force in reducing cost and improving outcomes. Recent announcements of unusual entities entering the market, such as Amazon, CVS, and Walmart, are an example of this phenomenon. Developers and utilizers of clinical pathways should be aware of these new models and how pathways may need to be adapted in light of these atypical models. The principles and structures of Kaiser Permanente and the National Institute for Health and Care Excellence (NICE) may represent future models of care. Providers, pathways developers, and payers alike should take note of these new models.

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