Ambitious, compassionate, and diligent with an eye for innovation Greg Giesemen, President and Chief Executive Officer for Community First Health Plans (CFHP), is unstoppable. With a Master of Business Administration from Loyola College and a Bachelor of Science in Chemistry form Towson University there is no denying Giesemen’s diligence and intelligence. With over 30 years of experience in health plan, health delivery, and benefit administration Gieseman has amassed a strong track record for developing and implementing utilization management, reporting, and reimbursement systems that improve both financial performance and consumer satisfaction. Gieseman, as CEO of CFHP, is responsible for managing all of their ongoing operations. From establishing…
Would recommend paying base salary of $ 2000 per week, since this is below the lowest net revenue, salary of the lowest performing doctor…
Our health workforce was described as dysfunctional in public and private health workforce policy and infrastructure putting the health of Americans at risk. Could it be the lack of integrated education and teamwork from those that are involved in the care of our patients? Health care professionals are educated in differing schools of thought. If there were overlapping curricula and raining requirements integrating their training there would be both advantages and disadvantages involved.…
Enclosed is a formal report on physician compensation. Intermountain Healthcare is in the process of deciding if changing how physicians are compensated is pertinent to improving Intermountain Healthcare’s motto of, “extraordinary care” and financial wellbeing.…
Milkovich, G., & Newman, J. (2004). Compensation 8e: The pay model. Retrieved January 23, 2008, from Univerity of Phoenix, eBook Collection…
The family can focus on areas needing improvement. The family assessment would also be beneficial to the healthcare provider in creating a family teaching plan (Taylor et al., 2011). The knowledge obtained in the family assessment will create a family specific…
Hooker, Roderick S.; Cawley, James F.; Asprey, David P. Physician Assistants : Policy and Practice 3rd ed. Philadelphia: F.A.Davis Co 2010. Ebook.…
Confronted with rising costs, the Federal government is fomenting a quiet revolution in how doctors and hospitals are paid and regulated. At the forefront of this revolution are two trends, one punitive, and one incentive based, which will require healthcare providers to rethink…
The reality of the current healthcare system in the United States is that costs are rising to out-of-control levels, quality of care is increasingly deficient and millions of Americans are without access to care. Traditional education for healthcare administrators has centered on business practices and organizational financial needs. Likewise, medical professionals tend to lack the business acumen necessary to effectively run healthcare facilities. The need to bridge the gap between healthcare administration and clinical care is more prevalent now than ever.…
No one knows when disease will strike, care outcomes, and the quality of treatment. Proper information is mandatory in health care decision making, because without it, greater severities can occur. There is also the issue of physicians and hospitals receiving payment for their services rather than the quality of care they provide. A hospital may be paid for a surgery on a patient with an ACL tear, but if that surgery goes wrong and they’re paid again for another procedure, than there is something terribly wrong. This example reminds me of the documentary Escape Fire: The Fight to Rescue American Healthcare. One aspect of the documentary sheds light on how primary care physicians are the most underpaid physicians in medicine today. Primary care physicians are the first responders when a patient is sick or is concerned about his or her health, so why is it that they are the most underpaid in the health care community? Physicians have a moral obligation to provide the best possible care they can and they are obligated to treat the whole patient. If physicians carry the attitude of being as productive as possible in order to get paid more by Medicare and Medicaid, then patients will not receive the quality of care they deserve. Herzlinger’s book is one that has opened my eyes to the corruption and almost evilness of our current healthcare system, and has allowed me to think critically about how I can contribute to health care reform. I exclaim that it is a must read for anyone interested in the improvement of the quality and efficiency of our health care…
There is a growing need in our current healthcare society for controlling costs and quality of healthcare services. Clearly this need for "middle-ground" options or payment reforms are desired in order to provide greater flexibility and accountability for the costs and quality of care than typical pay-for-performance, shared savings, and medical home programs, but which avoid forcing providers, particularly small physician practices, to take on more financial risk than they can manage or to take accountability for services they cannot effectively control.…
The biggest change that will occur in health care within the next 10 years I believe will be a cure to terminal diseases such as cancer and HIV. Along with that, I believe that health care costs will be lowered due to changes in the health care industry. Breaking news recently is that a cure for HIV has almost been discovered. Now there is a drug available that can be taken before having sexual intercourse with a partner that will prevent contracting the HIV infection. There has also been a breakthrough in curing cancer with injecting patients with the rotavirus. Health care costs may be lowered because the industry is looking for ways to improve quality care along with the costs to be beneficial…
Currently the health care system’s financial incentives are not structured to reward effective and efficient care. Payment systems pay doctors, hospitals and providers for services (fee for service). Oddly, when care is efficient, the savings go back to the payer, insurance companies or the federal government rather than the hospital. These factors, in…
Pay-for-performance (P4P) and value-based purchasing are terms that can be heard within the health care industry which, describes payment systems that reward physicians, hospitals, and other health care providers for their quality and efficiency. The objective of pay-for-performance (P4P) initiatives is to link reimbursement to quality of health care as well as reduce systemwide costs (Shi & Singh, 2012). Government agencies as well as private health plans are in the process of establishing programs in hopes to encourage hospitals, doctors, and other providers so that they will start to meet the quality of standards and achieve the ideal outcome for patients. The overall goal for pay-for-performance is to increase the quality of health care, while reducing the medical costs by implementing programs that will focus on things such as preventative care which would include services such as annual exams and vaccinations.…
As your fourth assignment toward completion of the Session Long Project you are asked to review the paper by A. Mains, A. Coustasse, K. Lykens: Physician Incentives: Managed Care and Ethics and answer the questions below.…