The United State healthcare system has been designed to manage healthcare. The “healthcare” framework of payments, research and technology is designed to treat conditions and provide services. While it’s a healthcare system that has brought us amazing medical advances and breakthroughs, it lacks the payment alignment, focus and coordination to successfully manage health of individual patients. This lack of success with managing health has resulted in spending more per person than any other country, 50% higher than number two, while finishing last in performance in a study of 11 countries.
Doing Both – Managing Healthcare & Health
To address this, many new value-based payment models are being developed that add quality and managing health incentives to healthcare payments with the goal of improving health outcomes and reducing overall cost. The United States government announced the goal of 50% of Medicare spending in 2018 to be through alternative payment models that require addressing quality and managing health.
Managing Healthcare – blood test, diagnosis of diabetes, prescribing medication and counseling (managing diabetes, weight loss, nutrition).
Managing Health – treat human behavior, understand determinants contributing to health conditions, motivational interviewing, goal setting, care coordination, develop a trusting relationship with regular communication.
Managing Health Is Complicated
The managing health component of healthcare payments today is still only about 5%. We have extensive research on managing healthcare, yet very little on managing health. We lack a proven managing health framework like the framework for managing healthcare. We have a lot to learn, we have a lot to build, yet we know the current framework that only addresses healthcare is not sustainable and it doesn’t deliver the health outcomes we desire.
The Patient Well-Being Foundation is dedicated to building the new managing health framework.