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What do the New Health Care Structures Means for Health Care Ethics?

What do the New Health Care Structures Means for Health Care Ethics?. Philip Boyle, STL, Ph.D VP, Mission & Ethics. My plan. New Structures Continuum and hand-offs (LTC, home health, PACE, hospice) CINs & ACOs Partnerships Physicians Common mechanisms Facilitation Education Policies

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What do the New Health Care Structures Means for Health Care Ethics?

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  1. What do the New Health Care Structures Means for Health Care Ethics? Philip Boyle, STL, Ph.D VP, Mission & Ethics

  2. My plan • New Structures • Continuum and hand-offs (LTC, home health, PACE, hospice) • CINs & ACOs • Partnerships • Physicians • Common mechanisms • Facilitation • Education • Policies • Moral Problems

  3. New Structures • Continuum & hand-offs • LTC • Home health & hospice • PACE Programs • CINs & ACOs • Partners- Walmart, CVS, Walgreens • Physicians

  4. Clinically Integrated Networks • A mechanism for addressing population health management ; infrastructure • A contractual agreement between insurance provider and a network of health care providers • Health Systems • Employed Physicians • Independent Physicians • Members share the risk in caring for an assigned group of patients (covered lives) across the continuum of care • Addresses Triple Aim: 1) improving quality/satisfaction of care experience, 2) improving health of populations, 3) reducing per capita health costs

  5. Methods to address • Facilitation • How to access? • Who possesses competencies? • Education • Problems specific to setting • Delivery methods: Web & virtual ECs • Policy • Specific policy: e.g., smoker & oxygen

  6. Content • Allocation & appropriate care • Population health • Consumerism • Conflicts of interest • Cooperation

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