This missive attempts to address the following issues pertaining to the potential ramifications of the transformation of rural health from a cost-plus fee for service model to a value-based, consumer driven healthcare model.
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Healthcare in the United States is moving away from a high cost/low quality fee-for-service model to a value-based system where payment is based on improved patient outcomes.
As wellness districts and physician groups transition to contracted direct care models and collaborate with either independent IPUs or integrated delivery system-based IPUs, they will drive down volume in emergency departments and inpatient care departments of the hub or regional medical centers.
We are told that the healthcare industry must change from being a reactive episode-based system to a collaborative, proactive process that enhances wellness, provides health maintenance and reconnects the physician and the institution with the community. We cannot look to others to make this happen. It’s up to us.