I am John Ross and We have spent my entire 45 + year career in medical care. Specifically, my background and experience is at developing and managing data planning, reimbursement applications, and health economics strategies for many fortune 500 health attention technology businesses.
In quick, my job was to aid the companies that I worked for to know the health care marketplace from three important points of views. The first was to be able to answer the question; “What can we expect you’ll be paid for the medical technologies we have been developing and planning to advertise? The second question; “will the results and/or lower costs associated if you use these medical technologies rationalize the payment level we all think they deserve? Ultimately, what product development, marketing and sales strategies do we must employ to insure which our future medical technologies are usually quickly accepted by nursing homes, physicians, payers and individuals? Obviously with such any focus I had to manage Medicare (health insurance policy for folks over age 65 as well as the disabled), Medicaid (state-run insurance programs for your less fortunate) and commercial medical insurance companies (the organizations that insure and administer employer-based medical insurance plans). I also spent lots of time assessing the needs regarding physicians, hospitals and large integrated medical care delivery networks that purchase and use many medical technologies.
From a funding standpoint We have seen America’s health attention system go from practically “anything goes” to today’s increasing give attention to cost and outcomes. Benefits, is just another means of asking the question; “for the dollars we have been spending nationally or over a particular patient’s disease or perhaps injury are we finding a good value in go back? In other words, is the price tag on the drug, medical system, procedure, diagnostic or surgical involvement worth the cost with regards to better results and lower costs in comparison to how we would usually manage this patient’s problem?
This blog is any forum for talking “honestly” concerning:
1. Where health care in the us is going?
2. Why it really is going there?
3. Exactly what do we expect from tomorrow’s medical care system compared to that which you have become used to be able to?
4. What we are capable of doing to the best individuals ability to use less than it (think preventive well being strategies)?
5. How you should think about and also help those unfortunate men and women, young and old, who need more than it than we do?
6. How can we create sure those who need health care access good health care if they need it?
7. What can we do to boost the chances that high tech health care will be there once we need it and with a price we can manage?
I will also provide education concerning how the health care system works from your various perspectives of the particular stakeholders. It is vital that individuals understand these perspectives, what drives them as well as the many conflicts that are present. Areas to cover will probably be:
1. What is happening to be able to hospitals and physicians on this changing health care landscaping?
2. What is happening for the development of innovative upcoming medical technologies and pharmaceutical drugs?
3. Where is Medicare policy going pertaining to payments to physicians and hospitals as well as other care settings?
4. What exactly is the future of employer-sponsored medical insurance plans?
5. Where is changing pertaining to private health care insurance firms?
6. What will eventually patient costs?
7. Exactly what do I do to steer clear of premature, unnecessary or unproven medical care interventions?
8. What role will “evidence and data” play in the foreseeable future in giving us more details from which to make personal or relative health care decisions?
I would really like this to be the place you could visit when you notice politicians or anyone else for example promising something from medical care that just doesn’t sound right. We all know the impression we get when we all hear an “it’s too good being true” story. When we all hear such fantastic claims, we better check it out and this will be a place where that can be done that. So, bring your concerns and questions and I am going to do my best to help you to check them out!
Maybe you have heard this one; “under my own health plan, you will not need to to worry. Your costs will continue to be reasonable, you can keep your doctor and you may have access to high tech health care”. Or, “it is every kinds right to access the top in health care, younger and old, rich and poor irrespective of your ability to pay out. ” This would be nice nonetheless it is simply not reality and it’s also time that we speak about these things and handle them with our rose-colored spectacles removed. So, no matter what your viewpoint on this subject I encourage one to visit ask and opinion. We need a grass-roots effort directed at understanding health care and in particular we must talk about its funding limits and that which you can do to guaranteeing that those who need it – obtain it, and at a substandard quality and at a manageable cost in a way that we can afford it being a nation. If we don’t try this it is highly likely that medical care as we have known it America will never be available when we face our personal or a family associates serious and costly disease.
The fundamental flaw inside our individual approach to medical care is the notion that individuals have no responsibility because of it except to expect it being there, with no postpone, and at state with the art levels of attention. And that for the most part it must be paid for by somebody else. Most politicians right now usually are not leveling with us. They don’t really want to address the areas that we have addressed even on this my first edition medical care blog. Well, I believe we are better as compared to that! I think with all the right information we can manage from the changes that are on its way. We want to do the proper thing but to take action we have to be informed concerning how stretched the medical care system is and that which you can do to unburden this kind of precious resource.
First, we could stretch health care dollars and resources through better care of yourself. The goal is to accomplish what “we” can do with regards to learning about and exercising preventive disease strategies, thereby reducing the quantity and cost of medical care interventions we need. By behaving this way we take back our local health attention systems funding and constrained physical capacity to treat those who find themselves truly in need. Each one of us that invests inside preventive disease strategies will see that the beneficiary will be you, your family, along with your finances. Pretty tangible rewards wouldn’t you say? Perhaps bigger than that is what this kind of behavior and better health yourself and the avoidance of chronic diseases for instance high blood pressure, heart problems, pulmonary (breathing) ailments, diabetes and a sponsor of other conditions are capable of doing to unburden the nation’s medical care system. We need to be able to preserve it, both with regards to resources and dollars, for many who are less fortunate and possess to access the system for serious health conditions. How good would in which feel?
Some would say that America can be a scary place to be today. The events of 9/11, the particular Iraq and Afghanistan battles, continued threats from terrorism, the particular housing and subsequent economic meltdowns, the political infighting in which gets us nowhere, and yes medical care crisis. These all create the tendency to produce us want to “wring our hands” as opposed to “wringing the necks of politicians” that will not provide the leadership that individuals need.
I have arrive at a conclusion. I have observed enough to know the leadership we need must come from us, the people who make up the electorate. Ready for politicians to act means we hardly understand the world of nation-wide politics. Politicians only move in a direction or another any time an exercised and voting electorate (which is us) frames the difficulties and leads the best way to a solution. It is practically never the other approach around.
Bringing it returning to health care and the particular question of what one individual can do to increase things, it starts with one individual and another until we’ve millions pulling in the identical direction. If we manage our health and wellness to the best individuals ability (and I must emphasize, truly to the most effective of our ability) and access medical care system only once we need it, paying a tad bit more out-of-pocket for the incidental and also non-life threatening ills and spills most of us experience, the system could accommodate people when we really want it.