The solution, according to Tefen, is a system of health courts similar in practice to the arbitration system utilized to address other complex issues requiring dispute resolution, such as workers' compensation, tax and patent disputes and vaccine liability, where claims against institutions are adjudicated. Health courts would administer peer reviews and independent analysis of procedural errors - differentiating between human error and negligence - and determining damages proportionate to the mistakes.
Mandate the Use of Best Practices
The current system of medical reimbursement actually rewards providers for delivering more care - not necessarily better care, according to Tefen. "With fairly uniform medical pricing across the industry set by the government and private insurers, providers can optimize revenues only by increasing the number of procedures," explains Calogero. "This perverse system creates immense variability in how care is delivered. It gives hospitals and doctors little incentive to consistently provide treatments that medical research has shown produce the best results."
The solution, according to Tefen, is a mandated system that holds providers accountable for delivering health care using the best known practices and protocols. Such a system would reduce variability and administer compensation directly tied to improving practice patterns and medical outcomes.
Drive Systemic Process Improvement
When compared to other industries, health care is
|SOURCE Tefen USA|
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