It was my distinct privilege to serve with such a dynamic, complementing board. Paul Wetter, accomplished a great deal in this regard. During my tenure, the board, working with Chairman Dr. Our society is being increasingly identified as a high-tech society. Once again, the answer is simple: allow the skills and talents of doctors to fully flourish through a system that finally puts the patient back at the forefront of care delivery.It has been my pleasure and honor to serve as President of the Society of Laparoendoscopic Surgeons (SLS) during the past year. Yet even as they push for comprehensive reform, policymakers need only consider one simple question: How can we make sick patients healthy again? The future of Medicare Advantage and integrated care is now in the hands of Congress. Her efforts must be reinforced by additional bipartisan allies looking to make a measurable difference in the lives of their constituents by protecting this critical and popular program from unnecessary cuts. Michelle Lujan Grisham has battled to protect Medicare Advantage, and we commend her for her leadership fighting for New Mexico seniors. Not only does it stifle the potential of integrated care, it puts millions of patients at risk.įortunately, New Mexico’s Rep. Under current law, approximately $24.5 billion in cuts will be implemented in 2015 alone, creating an uncertain environment for the program as well as its consumers.Īs a country in need of sustainable reforms in the health care sector, this legislation moves us in the wrong direction. These cuts are mystifying in light of recent anecdotal and concrete data mentioned above, and if fully implemented over the coming years, will become detrimental to patients who could reap the health benefits of Medicare Advantage. In recent years, federal policymakers approved $200 billion in targeted cuts to the program. Most damaging among these are recent legislative cuts to Medicare Advantage. Among a national MA patient population we’ve treated within our network using an integrated care model, we have witnessed a 37 percent drop in hospital admissions and a 21 percent reduction in rehospitalizations – generating potential savings for both patients and Medicare.ĭespite much evidence demonstrating the value of integrated care, there are currently a number of roadblocks preventing our nation’s most vulnerable patients – our seniors – access to effective care coordination. Patients with Medicare Advantage plans are clearly benefiting from care coordination. And even more – an impressive 94 percent – are happy with the quality of care they receive under their plan. Ninety percent of Medicare Advantage beneficiaries are satisfied with their plan, according to a recent study.
In fact, there are more than 102,000 New Mexicans already enrolled in Medicare Advantage plans, and another 15 million patients nationwide. Therefore, it is evident that we must ultimately scale up the coordinated care model in order to ensure its clear health benefits, and outcomes, to millions of needy American patients.Ĭurrently, Medicare Advantage is the only coordinated care option for Medicare beneficiaries. Not only are we finding that this approach leads to healthier patients, but also results in high patient satisfaction and generates significant savings across the health care system associated with the prevention of avoidable readmissions.Ĭurrent physicians – as well as our nation’s next wave of caregivers – consider integrated care as central to good health.Īs doctors, we want what is best for our patients. While working in interdisciplinary clinical teams, we concentrate our efforts on quality of care, rather than quantity. The result is highly efficient, personalized care – all without the redundancy and wasted hours patients often experience trying to navigate our current fragmented health care system.Īs chief medical officer for the ABQ Health Partners, I have had the opportunity to witness the benefits of care coordination firsthand. Therefore, specialists treating the same patient can align their care plan to successfully combat numerous chronic diseases. Integrated care – or, care that is purposefully coordinated – is a system that emphasizes and facilitates communication between doctors and the various sites of services. As our nation’s health care system grows ever more complex, there is a simple and unified approach to truly improving patient outcomes and quality of care: integrated care.
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