Read this proposal by Dhruv Khullar, M.D., and Dave A. Chokshi, M.D., for an integrated federal healthcare system to replace t0 rather chaotic and contradictory one we have now.
This JAMA piece by Dhruv Khullar, M.D., and Dave A. Chokshi, M.D., look at the need for the federal government to integrate its health programs.
They note that “{t}he breadth, complexity, and incremental development of the federal health system have resulted in a fragmented patchwork, with many potential areas for integration to increase efficiency and improve care coordination.”
They suggest (in considerable detail) five ways could be improved:
- “Minimizing overlapping service delivery and procurement.”
- “Reducing duplicate payments.”
- “Repurposing underutilized facilities.”
- “Integrating information technology systems.”
- “Expanding value-based purchasing.”
