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More health care regulations mean more middlemen, fewer doctors

By Stephen B. Kemble, M.D.

POSTED: 01:30 a.m. HST, Nov 27, 2013

~~<p>I attended the recent Hawaii 2013 Healthcare Summit, on how Hawaii is implementing the Affordable Care Act and transforming health care. The keynote address by Dr. Abraham Verghese was inspiring &mdash; all about the sanctity of the doctor-patient relationship and how health care should be focused on the living patient, not the &quot;iPatient&quot; in the computer.</p>
<p>In panel discussions, Hawaii's health plans and hospitals told us how they will guide us away from fee-for-service payment that rewards volume of services to value-based payment systems that reward quality and care coordination. The goals are the &quot;triple aims&quot; of improved quality, improved population health, and improved value/reduced cost. However, dig deeper and the conference was full of contradictions and confusion.</p>
~~

I attended the recent Hawaii 2013 Healthcare Summit, on how Hawaii is implementing the Affordable Care Act and transforming health care. The keynote address by Dr. Abraham Verghese was inspiring — all about the sanctity of the doctor-patient relationship and how health care should be focused on the living patient, not the "iPatient" in the computer.

In panel discussions, Hawaii's health plans and hospitals told us how they will guide us away from fee-for-service payment that rewards volume of services to value-based payment systems that reward quality and care coordination. The goals are the "triple aims" of improved quality, improved population health, and improved value/reduced cost. However, dig deeper and the conference was full of contradictions and confusion. Login for more...



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