Friday, August 9, 2013

The Provider Blues

The Other Side of the Equation

Obamacare is in the news every day, with much discussion of jobs and exchanges and insurance and many other topics. My beat is the other side, the provider side, and a great deal of confusion and chaos lives there.

What are providers supposed to be doing?

improve quality
cut costs
install complex EMR systems able to link into EHR networks
work through a massive transition to ICD-10 coding
move into a complex “big data” environment
move to innovative delivery and revenue models
(ACOs, bundling)
overall, develop and implement new and unknown clinical and business models

So what's the problem?

No one, in or out of government, can tell us what the destination is. This is a ginormous lab experiment with patients as the white mice.

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