Compared to all of Europe, America spends twice as much to care for half as many people. Former CEO of The Permanente Group, Dr. Robert Pearl shares how he approached health care transformation through changes in consolidation, capitation, and culture.
I sat at my desk astonished after her exit. By all current billing standards, I had done nothing. I had spent no more than fifteen minutes with Alice and had done nothing more than explain in layman’s terms what had taken place in her recent ER visit.
Healthcare hotspotting is an innovative model of care through which health professionals across disciplines work as a team to identify healthcare super-utilizers – people who are admitted to the hospital multiple times a year, frequently for avoidable complications of chronic conditions, and who often have social barriers to adhering to their care plan. Hotspotters proactively bring additional attention, follow-up, resources, and care to these patients in their homes and communities to help keep them out of the hospital.
Brian Forrest didn’t want to practice family medicine in a system where receptionists ask, “Who’s your insurance provider?” before asking, “Why do you need to see the doctor?” But instead of leaving the system, he changed it, and the result is a cash-only, no-insurance practice that earns more and charges far less than the traditional model.