![]() Rather than following a sequential process from one goal to another, the IHI Triple Aim framework emphasizes these three goals’ interdependence. The framework aims for every member of the health care system to work toward these goals and balance the need for better care and patient experiences with the need to save costs. The Triple Aim’s goals span all levels of a health care system, from small private practices to national insurance providers. The Institute for Healthcare Improvement (IHI) developed the Triple Aim in 2007 in response to rising health care costs and pressure to deliver more value despite aging populations and chronic health issues. Let’s explore the Triple Aim and what it means for health care organizations. The three components of the Triple Aim framework help to guide health care systems toward better results through clear focus and measurability. ![]() There are three overarching goals that make up the Triple Aim of healthcare: reducing costs, improving patient health, and improving quality of care. Accessed April 2, 2015.The Triple Aim is a framework that healthcare systems can use to better meet the needs of individual patients, populations, and organizations. ![]() Medicare cuts payment to 721 hospitals with highest rates of infections, injuries. Institute for Healthcare Improvement Innovation Series white paper. A guide to measuring the Triple Aim: population health, experience of care, and per capita cost. What hospital executives should be considering in hospital mergers and acquisitions. Medicare Program Medicare Shared Savings Program: Accountable Care Organizations. Hospitals, market share, and consolidation. The concurrent growth of hospital health plans (especially those emerging from vertical mergers and partnerships) and wellness programs in the United States provides a unique opportunity for employees and patient populations to promote wellness and achieve the Triple Aim goals as initiated by CMS.Īffordable Care Act accountable care organization health and wellness programs health insurance plan healthcare reform joint ventures partnerships.Ĭutler DM, Scott Morton F. Successful workplace health and wellness programs have varying components, but all include monetary incentives and documented outcomes. The ACA encouraged improvement of employee wellness programs by providing funding for expanded health services and by mandating quality care. Before the implementation of the ACA, some employers had wellness programs, but these were not standardized and did not need to produce measurable results. Administrators believed that partnering would allow the companies to meet ACA standards for improving clinical outcomes at reduced costs. The findings showed that despite rising healthcare costs, joint ventures prevent hospitals from trading-off quality and services for cost reductions. Noteworthy characteristics of these programs were summarized and tabulated.Ī total of 44 eligible articles were included in the analysis. ![]() Articles published between January 2007 and January 2015 were compiled from various search engines, using the search terms "corporate," "health and wellness program," "health plan," "insurance plan," "hospital," "joint venture," and "vertical merger." Publications that described consolidations or wellness programs not tied to health insurance plans were excluded. We conducted a review of the literature to identify successful mergers and best practices of health and wellness programs. To examine the ACA's impact on the health and wellness programs that have resulted from the joint ventures of hospitals and health plans based on the published literature. Hospitals and insurance companies have opted to partner to distribute the risk and resources and increase coordination of care. The Affordable Care Act (ACA) healthcare reforms, centered on achieving the Centers for Medicare & Medicaid Services (CMS) Triple Aim goals of improving patient care quality and satisfaction, improving population health, and reducing costs, have led to increasing partnerships between hospitals and insurance companies and the implementation of employee wellness programs.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |