Question

If you were designing a new American health care system:

What elements of the current system would you keep and why? What elements would you change and why?How would health care be paid for? What innovative ideas can you envision?

Answer 1

Chronic care management, care coordination, primary care, advanced technology, health information system are the elements that should be continued with the new system. Effective use of preventive care to minimize the gaps. Reduce the length of inpatient stay, avoid complication and readmission compensate the financial accountability. Compulsory insurance coverage with the variation of coverage according to their needs reduce the health care disparities. Evaluate and redefine health policies based on the specific patient population. Practice-based research has been developed to improve the efficiency of patient care. Health care delivery has to be improved with the coordination of care and increasing of specialists. Initiation of disease based incentive program to reduce the burden on the individual. Change of reimbursement to value the quality of health services. Overall, the patient will get quality health care, at low health care cost with easily accessible and good outcomes. Expanding insurance coverage and a clear transition of payment to promote quality delivery of care.