The Future of US Healthcare by Barry Bittman, MD

See Part II for a presentation on Care Coordination - http://www.youtube.com/watch?v=C82E07...

The Future of US Healthcare by Barry Bittman, MD

It's not surprising that every hospital and health institution in America is facing a substantial degree of uncertainty concerning the future of our nation's healthcare. While the writing on the wall certainly includes Accountable Care Organizations, Bundled Payments, Insurance Exchanges, Core Measures, HCAHPS, Meaningful Use and Value-based Purchasing, the precise nature of that which will ultimately shape and enable our healthcare system to survive is at best, uncertain.

The real question is how can we improve and sustain our healthcare for future generations?

Highly politicized, the Affordable Care Act is poorly understood and widely debated. Yet what appears to be universally agreed upon is a series of remarkably straightforward goals referred to as the Triple Aim: improving the health of populations, improving the experience of care, and reducing per capita healthcare costs.

The pressure is building. Undoubtedly, something has to give.

Check out Part II for a presentation on Care Coordination - http://www.youtube.com/watch?v=C82E07...

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[Barry Bittman]

Your point makes sense. However care can be centralized when a community hospital exists without walls. I suggest watching my second video on care coordination that outlines our actual program.

[TheDrmps]

very beautiful and informative . good job

[Barry Bittman]

My intention was not to make this a political issue. Regardless of the side one takes or a political mandate, we must attempt to improve outcomes, provide better care experiences for patients and their families, and do so at a lower per capita cost.

[Pierre Robinson]

I diffidently believe in all your views and the views of the video i would like it much connect with like minded individuals my facebook is..........facebook.com/pierr­e.robinson.12

[shawnnaconnolly]

Nicely done! After 30+ years in healthcare financing, I'm convinced now more than ever that we need a strong public option, if only to force for-profit insurance companies into truly doing something about costs, rather than talking about it. Insurance carriers have been in THE best position to address inconsistent outcomes and unnecessary care, yet nothing has really changed. We simply can't rely on health ins reform 2 move us into the 21st century with respect to our health care system.

[Jojo Dynamo]

I'd be more interested in how you can get it past government bureaucrats in a way that actually WORKS.

[jusrockinout]

A good introductory video about healthcare that is not steeped in politics or arguing over the economy--not that those issues are not important, but US healthcare has more problems than money and government involvement.

[ChristEnabled]

I have one question, how? I mean it sounds great, but what exactly are you proposing? Centralized, command and control healthcare? I don't think that it will/can work like you think it will. At least not a radical change in human behavior. History shows this. I think this video (youtu.be/5J67xJKpB6c) illustrates my point that it is possible for there to be a market based solution, because we have seen this in other sectors of the economy.

[Iron Comet]

Very interesting,

[Luis Augusto Fretes Cuevas]

But it's simply untrue that only health care habits are major factor on your and everyone's health. For instance, if my family has a history of Cancer, should I pay more? Is that affair? That's clearly out of my control.

The private insurance is model inherently broke (in a economic sense) because profits are increased by insuring people whom will never need health care and leaving people whom may get sick out of the game. Just by eliminating administrative expenditures the costs reduce 30%.

[Michael Huffman]

The missing link I see here is requiring people to take personal responsibility for their lifestyle habits. If a person chooses to pursue risky lifestyle choices, they should understand the risks and it should not be the responsibility of all of the healthy people to pay the price for the ignorant and outright irresponsible. For example, a person who eats an unhealthy diet should plan on dying younger, not patched together on our dime.

[stwendeler]

the interconnected network of providers is great. that's what the free market does to deliver goods & services at lower and lower costs each day. The more people are informed and empowered about their own health care decisions (or any purchase of any good or service), the more efficient the market.