Direct Pay : A Simpler Way to Practice Medicine by Divya Srinivasan Sridhar PDF

By Divya Srinivasan Sridhar

ISBN-10: 1498701345

ISBN-13: 9781498701341

Direct Pay: a less complicated method to perform Medicine examines the direct pay enterprise version as a coverage replacement and strength coverage method to the industrial, technological, and sociocultural difficulties that experience emerged for working towards physicians as a result of reasonable Care Act. in line with a study research carried out by means of the writer, the publication addresses key examine concerns which are supported by means of conception and up to date literature.

The study and hypotheses awarded within the textual content are proven and confirmed via a suite of questionnaires, interviews with direct pay physicians, and case reports that illustrate how the topic originated and why it's gaining momentum in today’s not easy well-being reform environment.

The booklet offers counsel on direct pay from a public coverage point of view. It examines the impression of contemporary wellbeing and fitness reform rules and provisions on direct pay physicians, together with the person mandate and common assurance provisions, patient-centered clinical domestic (PCMH) certification and version of care, provisions to extend Medicaid and adjustments to repayment for Medicare, coverage adjustments from HIPAA, and the HIT coverage of significant Use (MU).

The publication analyzes the organizational variety and tradition of the partaking direct pay practices utilizing theoretical and sensible checks of the Competing Values Framework. It not just gauges the practices and coverage implementation of direct pay practices, but additionally searches for adaptations among natural as opposed to hybrid organizational identification of direct pay practices, and adaptations among direct pay practices working on all-inclusive, fee-for-care (FFC) versions as opposed to fee-for-service (FFS) money models.

Providing a basic figuring out of direct pay, the publication highlights rising tendencies and offers authoritative research on how the direct pay company version may also help to enhance the perform of drugs via stronger potency and effectiveness.

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Additional resources for Direct Pay : A Simpler Way to Practice Medicine

Sample text

The diffusion of innovations theory depicts how, why, and what rate technology diffuses through an organization and suggests the importance of the context of EMR and mobile health technology adoption in fulfilling the goals of introducing new HITs in an organization. HIT, and more specifically EMR adoption, is a cultural phenomenon that requires intentional efforts in order to provide smooth diffusion. In his theory, Rogers explains typical characteristics of the diffusion of innovations and the practices that can speed up adoption.

INOVA 360 is a private concierge practice at INOVA Health System in Northern Virginia. It was developed from the DPC style of practice, as it used to provide executive health plans for employees, and now provides concierge care to all patients (INOVA VIP 360, 2013). It has experienced success in its efforts, although this is not the case across the board. Some large hospitals with concierge practices, such as the OhioHealth Group, were stopped from practicing concierge care in 2005. Some of the reasoning behind the closing of the OhioHealth Group was the uncertainty present in operating a concierge practice alongside an Introduction ◾ 19 insurance-­based provider.

The report was not clear as to the specific form of concierge care, be it FFS, FFC, or hybrid models of care. This could also make a difference on the supply/­demand because of the type of care being 18 ◾ Direct Pay: A Simpler Way to Practice Medicine provided, insurance accepted by the state, state laws on practicing concierge medicine, and regulations. Concierge Medicine Research Collective and Concierge Medicine News (2013) also documented the fastest growing cities with concierge medicine. Los Angeles, San Francisco, New York, Palm Beach, and Baltimore were among the top 5 in the United States.

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Direct Pay : A Simpler Way to Practice Medicine by Divya Srinivasan Sridhar


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