Organized outreach efforts to Congress, HHS, and CMS to educate on the opportunity to commission a public and private collaborative task force designed specifically to identify and analyze concrete opportunities for healthcare simplification and the coordination of simplification implementation efforts across public and private sectors.
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The persistent fragmentation of healthcare reflects inadequate coordination between providers of care. A variety of conditions make it more difficult for primary care practices to coordinate care. Most PCPs spend little time in hospitals and use siloed electronic health records while insurance networks complicate choice and coordination.
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Healthcare is one of the only industries where those buying or selling do so without knowing how much it costs. It's typically not until the doctor receives the explanation of benefits (EOB) or a patient receives their bill that each knows the real cost. Most patients still do not know the cost until they arrive at the pharmacy.
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There exists almost a complete lack of understanding about how healthcare pricing is derived and the true costs to deliver patient care. There is little resemblance to actual costs associated with delivering services much less how to discern how those costs compare with the outcomes achieved. Hospitals in the United States maintain chargemasters that contain the official list prices for all billable services.
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Drug spending in the United States is at an all-time high and still rising. Studies have repeatedly shown that the U.S. pays far more for the same prescription drugs than other countries and Direct-to-consumer drug advertising has led to excess utilization. Patients in the U.S. are far more likely to report that they can’t afford their medications and half of all adults with lower incomes go without care because of the cost.
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Establish a renewed focus on Transitions of Care and how existing and proposed Health Information Technology (HIT) and Interoperability of medical records are being implemented. Even after billions invested, the interoperability of medical records and their widespread exchange outside of individual health systems remains elusive and doctors universally still leverage business technology first deployed in 1964. The fax machine!
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