3 lurking trends in healthcare (and what do to about them)

37
“Clear Eyes, Full Heart, Can’t Lose.”

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Page 1: 3 Lurking Trends in Healthcare (and what do to about them)

“Clear Eyes, Full Heart, Can’t Lose.”

Page 2: 3 Lurking Trends in Healthcare (and what do to about them)

“Clear Eyes, Full Heart, Can’t Lose.”

Page 3: 3 Lurking Trends in Healthcare (and what do to about them)

The Real Math of Healthcare Costs in the US

Page 4: 3 Lurking Trends in Healthcare (and what do to about them)

1 + 1 =

Page 5: 3 Lurking Trends in Healthcare (and what do to about them)

1 + 1 =

Page 6: 3 Lurking Trends in Healthcare (and what do to about them)

When Can 1 + 1 = 3?

Page 7: 3 Lurking Trends in Healthcare (and what do to about them)

x3=x2+x2+x2+…+x2(xtimes) x3=x2+x2+x2+...+x2(xtimes)

3x2=2x+2x+2x+…+2x(xtimes) 3x2=2x+2x+2x+...+2x(xtimes)

3x2=2x.x3x2=2x.x

3 = 2 or 3 = 1+1

Differential calculus proof

Page 8: 3 Lurking Trends in Healthcare (and what do to about them)

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The Lurking Variable

Page 9: 3 Lurking Trends in Healthcare (and what do to about them)

that will impact YOUR PAYMENTS

The3

(and what to do about them)

TRENDSL U R K I N G

Page 10: 3 Lurking Trends in Healthcare (and what do to about them)

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Highest Cost - Sickest Nation

MACRA / MIPS Resistance

Failed Promise of EHR

123

Page 11: 3 Lurking Trends in Healthcare (and what do to about them)

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1. Highest Cost, Sickest Nation

Page 12: 3 Lurking Trends in Healthcare (and what do to about them)

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Page 13: 3 Lurking Trends in Healthcare (and what do to about them)

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USA - The Global Outlier

Page 14: 3 Lurking Trends in Healthcare (and what do to about them)

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Life Expectancy

78.94yrs

Health Spending per capita

$9,024.21

Lowest

Highest

Page 15: 3 Lurking Trends in Healthcare (and what do to about them)

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Avg. Projected Patient Out-Of-Pocket Cost Under “Trump-care”

$10k

Page 16: 3 Lurking Trends in Healthcare (and what do to about them)

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Does free medical care lead to better health than insurance that requires the patient to

shoulder part the cost?

Page 17: 3 Lurking Trends in Healthcare (and what do to about them)

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Desperate patients are paying cash or

avoiding care all together.

What’s the Result?

Page 18: 3 Lurking Trends in Healthcare (and what do to about them)

What to do:

Educate your patients about the cost of their care.

[Why OB/GYN is great at this: Global Pricing]

Page 19: 3 Lurking Trends in Healthcare (and what do to about them)

What to do:

Page 20: 3 Lurking Trends in Healthcare (and what do to about them)

What to do:

Page 21: 3 Lurking Trends in Healthcare (and what do to about them)

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2. MACRA/MIPS Resistance

Page 22: 3 Lurking Trends in Healthcare (and what do to about them)

www.practiceonyourterms.com

RESISTMACRA / MIPS

Page 23: 3 Lurking Trends in Healthcare (and what do to about them)

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The 962 pages of MACRA are so overwhelmingly complex, that no mere human will be able to understand them.As a practicing clinician for 30 years, I can honestly say that it’s time to leave the profession if we stay on the current trajectory.

John Halamka, MD & CIO (Beth Israel Deaconess Medical Center), in "A Deep Dive on the MACRA NPRM," May 2016

Page 24: 3 Lurking Trends in Healthcare (and what do to about them)

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Practicing Physicians of America @ Library of Congress

Page 25: 3 Lurking Trends in Healthcare (and what do to about them)

How to Act:

Own your own quality measurement.

Page 26: 3 Lurking Trends in Healthcare (and what do to about them)

qpp.cms.gov

Page 27: 3 Lurking Trends in Healthcare (and what do to about them)

3. Failed Promise of EHR

Page 28: 3 Lurking Trends in Healthcare (and what do to about them)

Meaningless Use / Data Hoarding

Page 29: 3 Lurking Trends in Healthcare (and what do to about them)

Ransomware/ Too Big to Fail Mentality

Page 30: 3 Lurking Trends in Healthcare (and what do to about them)

Poor User Experience / In Top 3 Cause for Burnout

Page 31: 3 Lurking Trends in Healthcare (and what do to about them)

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FastEfficientSeamless

The goal for Health IT:

Page 32: 3 Lurking Trends in Healthcare (and what do to about them)

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How to Act:Choose lean tools

and share patient data.

Page 33: 3 Lurking Trends in Healthcare (and what do to about them)

Step 1: Map Your Workflow:

Page 34: 3 Lurking Trends in Healthcare (and what do to about them)

Step 2: Smart Selection Guide:

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healthit.govStep 3: Share Patient Data

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Page 37: 3 Lurking Trends in Healthcare (and what do to about them)

THANK YOU!

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