How Colorado, Minnesota and Vermont Are Reforming Care Delivery and Payment to Improve Health and Lower Costs

Reforming Care Delivery and Payment
Name
Institution Affiliation
Question One
The presence of a large range of methods that are used to offer services to the community is one of the ways that have shown positive results of the delivery and payment of the Medicare in the states. One of the methods which have been used is the approach that combines several medical homes with that of the community health care teams. The combination of these healthcare initiatives aims at the unifying health care budgets. When different healthcare centers combine, there are better services offered by those health cares, and also the payments done are reduced. On the same note, when there is a combination of the healthcare facilities, there is an expansion of health services, and also the presence of healthcare potential payers for the services offered to the public. The collaborative program aims at creating the medical beneficiaries for the health care organizations and the payers. The presence of the collaboration among the organizations leads to the creation of the network in different medical care in the regions within the state (Silow-Carrol, Edwards, & Rodin, 2013).
The availability of the enrolment fee that has been included in the hospitals integrates the health care, and it also reduces the payments that are given since it acts as a source of investment in most of the hospitals and health cares in the organizations and the state at large. Most of the activities aim at improving the services and reducing the costs that are paid by the participants.

When the amounts used reduce then, the participant experiences some savings as well as the organization as a whole, and this results in, the amount that would have been used in the payment, to be diverted to other activities. Similarly, the report that has been made in the state shows that there is reduced level at which the emergency room services are utilized by the participants, and even the cost of other programs are also reduced in the health cares and hospitals that are found within the organization or those that are within the network that is formed (Bragdon, 2011). The fact that there exist a lot of monetary values that the state experiences, it also makes a saving plan that aims at helping in the growth of the health care and the networks that are formed within the organization involved. As it is evident in the case of Minnesota, there is a great achievement experienced since there is an increase in the number of the population that have been served under new payment and delivery system.
The annual report that being carried out also indicates that there is great potential in the new system and therefore it enables it to be embraced by the state due to the benefits it brings to the community. There are advancements in the primary care activities in the homes and even on the teams of the community health since there are multiple disciples that are offered by the new system for coordination and the support of the health sector. The enrolments done in the new system provides supplemented care to its members regarding management as well as in complex conditions. The payment system also enhances infrastructure development in most medical health care in the state, and this result in the improvement of the activities done in these health cares, and it also reduces expenditure budget hence leading to high-quality care achieved. The introduction of the new reform has enabled patients to have a variety of choices and therefore one can go for the treatment in the health care center where they can easily afford according to their monthly income. Due to the new reform, there is reduced the risk for the taxpayers as well as those who are enrolled.
Question Two
The collaborative character of the health care continually causes barriers for the hospital’s participation and success. Health care service organizations have limited trust to the competitors that have proprietary information, for keeping it safe and secure or with the aim of not making an attempt to use it for profit gain as well as competitive advantage. The government can work in conjunction with the private sectors that are carrying out the same duty as the public health cares to make the health sector grow without considering the competitive advantages that these companies may have over the public hospitals as well as other health cares (Goldsmith, 2010). Since the public health sectors are being funded by the government, the private sectors are funded by the individual owners of those hospitals, and therefore the private health cares are more reliable hence should be considered as any other heath cares in the state. A problem of financial uncertainties that is long-term and therefore it also brings a lot of challenge to the community and the state at large. Such management leads to most people to starve as they cannot be in a position to get proper health care just because of financial disability to afford their treatment. The federal government can deal with this challenge by giving a free offer to the needy people to ensure that these people are well-taken care off by the government concerning their health cares (Haskins, 2012). The government should also put into consideration the success of the private health care centers that are willing to give free medication to the members of a community and therefore, the government, should not be against their progress. Finally, the legalization of the access of some information about the health care by the unauthorized individual causes a lot of fear to the patients who go for treatment in those health centers. The federal government should, therefore, pass law that only allows the individuals who work with the patient to be in a position of checking their information to maintain privacy and confidentiality of the patients about the diseases that they are suffering from.
Question Three
Policymakers should put into consideration differences between the regions and communities that are involved in the health network to give room for flexibility in the design at which the reform system is made (Vest & Gamm, 2010). Some of the general guidelines should match the local culture, needs as well as the circumstances in the region. It can also be learned that joint activity is of great importance in the health care department in the state and therefore should be encouraged to reduce the number of payments by the enrollees. The partnership of the health care organization can also encourage the sharing of resources (Silow-Carrol, Edwards, & Rodin, 2013). The combination also encourages the redistribution of resource in the health cares or hospitals where they are scares to improve on the equality in the way of treatment for the patients in the entire community as well as the state as a whole. The plan of reform system encourages long-term investment and therefore the patients can easily get help when in need even if there is no cash for treatment. On the other hand, there is an availability of data in the reform system and therefore no delay when it comes to accessing of data unlike the previous or the historical form of the system used in the health centers.
Reference
Bollen, A. & Emes, C. (2008). Understanding Customer Relationships. IPSOS, 1(1), 17. Retrieved from https://www.ipsos-mori.com/DownloadPublication/1216_loyalty_customer_loyalty_understanding_customer_relationships_052008.pdfGoldsmith, J. (2010). Analyzing Shifts In Economic Risks To Providers In Proposed Payment And Delivery System Reforms. Health Affairs, 29(7), 1299-1304. http://dx.doi.org/10.1377/hlthaff.2010.0423
Haskins, R. (2012). Combating Poverty: Understanding New Challenges for Families | Brookings Institution. Brookings. Retrieved 28 December 2016, from https://www.brookings.edu/testimonies/combating-poverty-understanding-new-challenges-for-families/Silow-Carrol, S., Edwards, J., & Rodin, D. (2013). How Colorado, Minnesota, and Vermont Are Reforming Care Delivery and Payment to Improve Health and Lower Costs, 1(1), 1-10.
Vest, J. & Gamm, L. (2010). Health information exchange: persistent challenges and new strategies, 1(1), 1-7.