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David Durenberger Everything we need has already been invented: prepaid group practice; health maintenance organizations; leadership in behavioral, addiction, mental health treatment; disability support; and geriatric education. What we need is leadership here to change national financing policy to reward results. |
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Don Wegmiller The integration of care delivery is the greatest unexploited opportunity. It does not currently exist. It will take area-wide planning and a new financing system to achieve this kind of system. We have the right people here in Minnesota, but we need the political courage to do it. |
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Sara Criger The medical home legislation [which establishes specialized medical facilities offering continual care] provides opportunity to change our distorted reimbursement system. We need to focus more reimbursement on disease management and prevention care. We also need to look at the true needs of the mentally ill. A better financing model would keep them out of hospitals through medication compliance support, crisis intervention, and adequate housing. |
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David Plocher, MD [We should] test initially with larger delivery systems a departure from current fee-for-service payment methods toward prepaid, fixed global-payment terms. [This would] more likely be successful with legislative efforts for malpractice reform, reducing mandated benefits, prohibiting provider self-referral, and allowing government to negotiate pharmaceutical prices. |
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Kent Bottles, MD Getting to decreased per-capita cost and increased quality will require everyone to change. Patients must stop believing that more expensive and newer procedures are better. Providers will have to deliver only evidence-based care that makes a difference in outcome. Payers and health plans will have to transform their approach. |
