The Unsustainable Costs of Healthcare - Challenges and Solutions

Explore the complex issue of rising healthcare costs in this 52-minute Grand Rounds presentation by Dr. Michael Kitchell, a neurologist from McFarland Clinic. Delve into topics such as the delivery of healthcare, medical homes, quality ratings, value-based purchasing, and physician pay. Examine the concept of Accountable Care Organizations (ACOs) and how they differ from Health Maintenance Organizations (HMOs). Learn about quality and cost measures, including the Physician Quality Reporting System (PQRS) and group report cards. Discover strategies for reducing administrative costs and improving healthcare quality. Discuss the challenges of fee-for-service models, embedded quality measures, and Medicare payment decisions. Gain insights into how healthcare providers are rewarded, the impact of inflation and aging populations, and the complexities of medical decision-making in areas such as IV antibiotic use.

Introduction
Gypsies
Healthcare Costs
Relative Value Unit
Delivery of Healthcare
Medical Home
Quality Ratings
ValueBased Purchasing
Physician Pay
Shared Savings
Reducing Costs
ACO vs HMO
Quality and Cost Measures
PQRS
Group Report Card
Administrative Costs
How to Do Better
Improve Quality
Quality Measurement
Fee for Service
Partial Asst
Embedded Quality Measures
Summary
How do they reward you
Inflation
Past Performance
Patients Get Older
IV Antibiotics
Medicare Payment Decisions
Report Card