What Exactly Is An Integrated Healthcare Delivery System?

What exactly is an integrated healthcare delivery system is a question we are asked fairly regularly. Even today, many individuals are not sure what the term refers to.

(We know because we produce the National Directory of Health Systems Hospitals and Their Affiliates Database.)  https://www.healthresourcesonline.com/payer-provider-data/the-national-directory-of-health-systems-hospitals-and-their-affiliates.html

What callers have trouble grasping is the ‘affiliate’ piece. There are more than 11,500 affiliates that are a significant part of the health system.

We call the health systems the ‘motherships’ and all the affiliates are under the health system umbrella.

To be recognized as a true integrated healthcare delivery system or network – your preference – industry experts agree there must be a number of key elements present, including the philosophy of a “systemness” — certain system-wide functions and decision-making authority.

There must be a common philosophy among network entities to provide a “seamless continuum of care” — the opportunity to offer the community or region expanded and complimentary health services, and elimination of duplicative service programs.

To achieve this “seamless continuum of care” an integrated healthcare delivery system must provide a full range of healthcare services to a market area that is comprised of physicians, clinics, hospitals, a referral network, and a diverse offering of after-care services.

An integrated healthcare delivery system may operate its own managed care organization (MCO) or may wholesale the provision of care services and seek to accept risk within components of the systems, such as a physician network or its hospitals.

The National Directory of Health Systems, Hospitals and Their Affiliates Database is researched, compiled and produced by the Managed Care Information Center.

Our database provides key contact information, names, addresses and other details on the more than 750 major health systems in the United States, the almost 3500 health systems hospitals and more than 11,700 hospital system affiliates.

http://www.healthresourcesonline.com/managed_care/17idse.htm

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Most Health Plans Provide Print Or Electronic Publications To Members, MCIC Survey Finds

The majority of health plans provide some form of publication for its members, according to “Managed Care Leadership Survey on Member Communications” by the Managed Care Information Center.

Communication is integral in today’s pay for performance incentive environment. That’s why it’s an important activity to measure.

Some 67.7 percent of respondents reported that they produce a publication.

Of those who produce a publication for members, almost 26 percent reported the publication is in an “electronic” form. Print publications are done by 42 percent of those responding, while 3.2 percent reported they communicate both electronically and in print.

Do you have a publication for members?

Yes – 67.7%
No -32.3%

If yes, is it:
Print – 41.9%
Electronic – 25.8%
Other – 3.2%

Source: Managed Care Leadership Survey on Member Communications, Managed Care Information Center.

Accountable Care Organizations – Shaking up the Medicare Reimbursement Status Quo Big Time

CMS is supposed to issue proposed regs governing ACOs this fall.

Then, expect the first ACOs to begin operating in January 2010 – just 15 months away!

We have organized an education program on ACOs this Thursday. Should be an eye opener.

Healthcare providers, hospitals, PHOs and IPAs and others, payers and even vendors need to be aware of the implications for the market and competition in the new ‘hot issue’ era of ACOs.

Hospitals, PHOs, IPAs and other physician organizations, networks or group practices need to make some quick decisions about ACOs.

If your organization is considering creating an ACO, you have no time to lose.

About the program – “Accountable Care Organizations: The Opportunities and the Risks,” a new management education audio webcast briefing, this Thursday, Sept. 30, 2010 from 1:30 PM – 2:30 PM EDT.

For details click on: http://www.healthresourcesonline.com/edu/Accountable-care-Organizations.htm