Monday, February 5, 2018

Lunchtime Learning: An Historical Perspective of the Economics of Integrative Health Models in the U.S. Healthcare System

keywords: integrative medicine models, integrative health, models of healthcare, economics of healthcare models, reducing health care costs with CAM (integrative medicine), the current U.S. insurance reimbursement model, value-based medicine, triple aim and quadruple aim

topics:  unique historical perspective on the changing models of healthcare to incorporate integrative medicine (formerly complementary and alternative medicine) into the U.S. healthcare model and the economics behind the stability and growth of any healthcare model in the current system

This week's Lunchtime Listen recommendation is John Weeks' presentation from May 17th, 2017, on "Evolving Economics of Integrative Medicine".  The webinar was hosted by the Leadership Program in Integrative Healthcare at Duke University.
In the "Evolving Economics of Integrative Medicine" webinar presentation, John Weeks presents the historical perspective of integrative medicine and the economics of health care within the U.S. health care delivery system.

In case your lunch break is 30 minutes and not 50+ minutes, I included my notes below with minute marks about some of the subjects.  

Topic:  the historical perspective of integrative medicine and the economics of health care and health care delivery system

Discusses how the idea of CAM’s ability to reduce health care costs has some unexpected negatives in the health care delivery system.  U.S.’s current for-profit business model for health insurance actually has the perverse or negative incentive of “containing costs” and not wanting costs of providing healthcare to decrease.  This discussion with slides starts at minute 20.

Minute 34-36:  The economic value argument.  Samueli Institute and Wayne Jonas, MD and their case for Integrative Health models as good for business and economic health. There is cost savings in nurse retention, the diminished patient length of stay, ability to "make beds available", patient satisfaction and employee satisfaction, and improved safety through reduced errors.

Minute 36:  the Rise of “Value-Based Medicine”.  The movement from Triple AIM to Quadruple AIM.
Key terms used in this movement:  patient-centered, outcomes, silos to teams, community, sick care to health care, cost-reduction

Minute 37-39:  He quotes several American Hospital Association leaders, about the Affordable Care act and how it has significantly helped change the healthcare system in the positive direction of Quadruple Aim
"we are realizing ...we need to change the focus of health care industry to creating health not just producing.." --Douglas Wood, MD, Director of Strategy and Policy, Mayo Clinic Center for Innovation

Minute 39:  He introduces the Consortium's PIHTA program and how it is related to the Bravewell Collaborative work

Minute 40:  PIHTA (Center for Optimal Integration) and examples of integrative health care models being incorporated into patient-centered medical homes (PCMHs)

Recommended Reading or Watching
Escape Fire:  the fight to Rescue the U.S. Healthcare System
Learning more about the Movement of Integrative Medicine into Mainstream Medicine

More Lunchtime Listens
Biomedicine Review:  ReachMD presentation on opioid-induced constipation
The Opioid Epidemic, a Joint Pain Education Project video, within a blogpost filled with resources
Launching an Integrative Health Program in a Medical Center 
Integrative Medicine Leadership:  Lori Knutson's "Leading Simply in a Complex System" 
The Complexity of Acupuncture Research in just 10 minutes
Research Review:  Key Studies to Understand when Discussing Pain Management with a Physician

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