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Better Health Care at Lower Costs
Why Health Care Reorm Will Drive Better Modelso Health Care Delivery
Ellen-Marie Whelan and Lesley Russell March 2010
 
Better Health Care atLower Costs
Why Health Care Reorm Will Drive Better Modelso Health Care Delivery
Ellen-Marie Whelan and Lesley Russell March 2010
 
1cntr fr Amrian Prgrss | Bttr halt car at Lwr csts
Introduction and summary
Doris Jones is a 70-year-old senior ciizen wih muliple healh condiions, including dia-bees, high blood pressure, hear problems, and arhriis. Doris sruggles o manage hesechronic condiions, which are exacerbaed by her poor die, immobiliy, and he cos o her medicaions.Forunaely Doris receives her care a a very good primary care pracice ha boass avariey o healh care sysems in place o help coordinae all her healhcare needs. Tepracice has a specially rained nurse, called a “care coordinaor,” who makes sure Doris’weigh, blood pressure, blood glucose, and choleserol are rouinely measured, and adiabees educaor who gives Doris nuriion advice and helped her ge a new monioro check her blood sugar levels wih a large screen o accommodae her ailing eyesigh.Doris’s medical records are kep elecronically, which means ha all her regular bloodess and he MRI scan she’s had o assess her kidney uncion are shared wih all her doc-ors, eliminaing he need or each docor o order he same ess.All o hese poins o coordinaed care—regular checkups, healh advice, and care coordi-naion—keep Doris in conrol o her healh (see box). Bu criical o he naional debaeover healh care reorm, her coordinaed care saves her ime, ravel, and money. Medicarealso saves money because here are no duplicaed or unnecessary services.A key aim o healh care reorm is o bring beter qualiy and more aordable healh care oall Americans. Many people ear ha less expensive healh care means ewer services, bu inhealh care more is no always beter and someimes is acually worse.
1
Doris belongs o ahealh care sysem ha helps people say healhy hrough beter prevenive services, advice,and guidance on physical and menal well-being, and regular screenings and checkups. Tesysem also recognizes he diculy many older, chronically ill paiens may have in manag-ing heir reamen regimes, and provides assisance wih his. Doris’s primary care physi-cian, her oher docors and care providers, her hospial, and her communiy-based servicesare all conneced o ensure seamless care delivery and eecive communicaion.Te good news is ha Doris doesn’ live in a ye-o-be-realized ideal world. Remarkably,hese gold-sandard healh care pracice paterns no only deliver beter paien care andbeter healh oucomes, bu also have he poenial o save he U.S. healh care sysem bil-lions o dollars every year i hey become he models or healh care reorm naionwide.
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