New Era of Healthcare: Practical Strategies for Providers and Payers / Edition 1

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Collaboration between provides and managed care payers has the potential to reduce cost, improve processes, and enhance patient care. But a gulf between the two groups does the reverse-it leads to more expense and inefficiency in healthcare.

Written by Emad Rizk, MD, president of McKesson Healthcare Solutions, The New Era of Healthcare: Practical Strategies for Providers and Payers focuses on methods to force a partnership between the two groups. Through practical examples, Rizk illustrates actionable strategies to achieve alignment of clinical, administrative, and economic areas in which more efficient, cost-effective care is provided to the patient.

This book will enable readers to:

Develop physician buy-in with input from the doctor

Affect healthcare at the local and regional level, where the majority of care in this country originates

Establish patient portals that allow for information sharing between payers and providers across a computer network

Create incentive based payment programs that engage rather than physicians.

Fund electronic health records that provide access to the patient, physician and health plan

Streamline administrative processes, allowing for electronic claims submissions

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Product Details

  • ISBN-13: 9781601463180
  • Publisher: HCPro, Inc
  • Publication date: 4/1/2009
  • Edition number: 1
  • Pages: 144
  • Product dimensions: 7.00 (w) x 9.00 (h) x 0.40 (d)

Meet the Author

Emad Rizk, MD, is the president of McKesson Health Solutions, a healthcare services and information technology company dedicated to helping its customers deliver high–quality healthcare by reducing costs, streamlining processes, and improving the quality and safety of patient care. Rizk has been at the foundational levels in hospitals as a practicing cardiologist to the highest levels of strategic senior leadership working with payor, provider, and pharmaceutical organizations. He has developed and lead strategies for change with Deloitte and now McKesson.

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Table of Contents

Chapter 1: Why Payers and Providers Are Disconnected

Chapter 2: What Is Needed: Three Types of Alignment

Chapter 3: Getting Started: Creating a Pilot Project

Chapter 4: Tools to Support Collaboration

Chapter 5: Leading a Successful Partnership

Chapter 6: Clinical Processes for Greater Cooperation

Chapter 7: Economic Alignment: The Right Incentives

Chapter 8: Achieving Administrative Alignment

Chapter 9: A Model for Care in Pennsylvania

Chapter 10: The Future for Payers and Providers

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