Physician profiling is a collection of provider-specific and practice-level data used to analyze physician practice patterns, utilization of services, and outcomes of care. Physician report cards (which may be a component of a physician profile) compare physicians on outcomes related to measures such as quality, patient satisfaction, and cost-utilization patterns.
In this Discussion, you will identify three strategies for improving physician quality practice ranking on physician profiling and quality report cards. Be sure to justify your recommendations.
Post an analysis of physician quality practice data. Then, recommend three strategies for improving physician quality practice rankings on physician profiling and quality report cards. Justify your recommendations with references to your Resources or other academic resources.
Support your response by identifying and explaining key points and/or examples presented in the Learning Resources.
USE THESE RESOURCES:
Byrnes, J. (2014). Using the board quality committee to drive the value proposition. Healthcare Financial Management, 68(8), 92–93.
Joshi, M. S., Ransom, E. R., Nash, D. B., & Ransom, S. B. (Eds.). (2014). The healthcare quality book: Vision, strategy, and tools (3rd ed.). Chicago, IL: Health Administration Press.
Professional pointers. (2015). Healthcare Executive, 30(1), 48–49.
PART 2 :
2A. One of the assumptions of value-based care is that if consumers are aware of price, then they can make better decisions about the health care services they receive. In an effort to encourage this efficiency in health care, government regulation and policy has been designed to promote transparency of quality and cost information. For this Discussion, examine the following scenario and consider how regulation and policy on hospital cost transparency might improve economic efficiency.
Scenario:
On behalf of consumers, employers and local purchasers in your market are committed to slowing health care costs by improving visibility on hospital prices. A recent media story revealed that prices in your local market were the highest in the state. You are a member of a private sector consulting service that has been hired to help a hospital address transparency issues. The hospital would like to be more transparent in their cost and fee relationships with providers.
Analyze advantages of transparency for both the hospital and the consumer. Include how hospital cost transparency might improve economic efficiency. Then, recommend regulation and policy to compare hospitals based on their costs. Defend your recommendations.
Part 2B. Health care market failures, such as adverse selection, can be addressed through government policy and regulation. By limiting barriers and providing access to health care through policy such as the health insurance expansion under the Affordable Care Act, policy makers can address failures and ensure adequate insurance coverage for healthy, unhealthy, and at-risk populations. For this Assignment, you examine the health insurance expansion policy and evaluate economic implications.
To prepare for this Assignment:
- Analyze the rationale for health insurance expansion under the Affordable Care Act. How does health insurance expansion relate to the problem of adverse selection?
- Consider the economic implications of health insurance expansion in the United States. What are the economic implications of health insurance expansions for health care organizations in your own state or region?
The Assignment:
In a 4- to 6-page paper, address the following:
- Analyze the rationale for health insurance expansion. Include how health insurance expansion relates to the problem of adverse selection.
- Evaluate economic implications of health insurance expansion in the United States. Include, specifically, how health insurance expansions might impact health care organizations in your own state or region.
Note: The paper should be 4–6 pages, not including the title and reference pages. Your Assignment must be written in standard edited English. Be sure to support your work with specific citations from this module’s Learning Resources and additional scholarly sources, as appropriate
