Healthcare leaders … Are we providing patient centric care or revenue centric care?
Years ago, when I was working for Harvard Community Health Plan, I remember a leader saying to me:
“We change how healthcare is practiced by the way we fund it.”
Now at the time (I was young) I thought, “That can’t be right. All those who work in healthcare practice medicine based on the research, the evidence … based on what is best for the patient and family.”
Over the years the U.S. healthcare system has changed (and continues to change) how we fund (how we pay for) care, e.g., moving from Fee for Service to Fee for Service with Withholds to Capitation back to Fee for Service plus Pay for Performance (P4P) to Value Based Purchasing (VBP) and so on and so on.
But why? Why do we spend so much time, money and effort on changing the healthcare funding model?
Because the way we care for our patients and families — the way we practice medicine — is based on how we fund it?
“Want a change in care provision, develop a financial model which allows the healthcare provider to maximize revenue.”
- Could this really be true?
- And if so, is this really what we want? Is this the best we can do?
- Do we want those we love cared for based on what is best for them or based on revenue maximization?