This article discusses the impact of payment models such as Accountable care organization (ACOs) and patient-centered medical homes (PCMHs) on the prevention and management of chronic diseases. It also highlights the importance of basic metrics in assessing the overall progress of patients in primary care.
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Running head: POPULATION HEALTH CARE: NURSING1 Population Health Care: Nursing Name Institution
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POPULATION HEALTH CARE: NURSING2 Population Health Care: Nursing Question #1 Ideally, healthcare innovation is no doubt more than new techniques as well as technologies in contemporary society. As the overall healthcare landscape continues to take shape, one of the most critical areas of attention is the payment model in the United States (Distler, 2017). Consequently, there are various payments or rather financial models that have are created with the aim of managing healthcare costs across the United States. Some of the available economic models include Accountable care organization (ACOs) and patient-centered medical homes (PCMHs) (Berenson, 2016). In this light, the entire payment model has a different impact on the process of prevention and management of chronic diseases. Primarily, ACO has a significant impact on the process of managing the financial cost of treating chronic diseases. For instance, providers benefit from various incentives that tend to reduce the medical expenditure of patients (Centers for Medicare & Medicaid Services (CMS)., 2018). Additionally, this model allows providers to benefit from the overall knowledge that they tend to participate in healthcare actively. Care coordination is tipped as a critical aspect of improving and managing chronic illness as it provides patients with a rather dedicated team of who maintain their health, present a comprehensive and comprehensive plan that is aimed at treating patients, as well as ongoing support that is created in between visits. Question #2 It is no doubt that the field of primary care is in between a paradigm that tries to merge the entire benefits of a particular population to that of personalized care. Consequently, certain basic metrics are required in assessing the overall progress to incorporate patient as well as family perspectives and preferences, social, and home needs. Some of the basic parameters
POPULATION HEALTH CARE: NURSING3 required for this purposes include goal-directed care, basic care especially for chronic illness, tenets for primary care such as accessibility, and prioritization including balance and focus (Kim, Funk, Daniels, & Zaheer, 2018). In this light, patients overall progresses are in a position to be tracked by the medical practitioners and determine if the administered medication are the right one depending on the progress. This showcases the importance of the available metrics in regards to patient as well as family perspectives and preferences, social, and home needs.
POPULATION HEALTH CARE: NURSING4 References Berenson, R. (2016). Do Accountable Care Organizations (ACOs) help or hinder primary care physicians’ ability to deliver high-quality care? Retrieved from https://www.commonwealthfund.org/publications/journal-article/2016/sep/do- accountable-care-organizations-acos-help-or-hinder-primary Centers for Medicare & Medicaid Services(CMS). (January 20, 2018). Medicare Shared Savings Program Accountable Care Organization (ACO) 2018 Quality Measures Narrative Specifications Document. Retrieved from file:///C:/Users/karen/Desktop/DNP/10th_Semester/Population_Health/2018-reporting- year-narrative-specifications.pdf. Distler, F. (2017). Accountable Care Organizations.Crossing Borders–Innovation in the US Health Care System, 69. Kim, K. D., Funk, R., Daniels, B., & Zaheer, A. (2018). Are Networks Key to Solving America’s Healthcare Crisis?, Examining the Performance of Medicare Accountable Care Organizations (ACOs).