Reform measures are creating waves for all stakeholders in healthcare: individual patients, employers, insurance companies, and you—the care provider. As provisions take effect, there are more regulations to follow, more paperwork, and more patients, with greater focus on the quality of patient care and improved outcomes. Rather than being pulled into the red waters, create distance and position yourself for success.

Competition Works in Healthcare – Real Life Success Stories At OHM, we believe that competition is the solution to the crisis facing our health care system.  To prove our point, we look no further than the real-life experiences of two of our principals, Dr. Len Fromer and Peter Hayes. 

One of the biggest and toughest issues facing healthcare today is the disparity between our current healthcare system model, which is driven by volume and quantity of services; and a system that focuses on quality and value based models. In our current system, instead of paying for high quality and value of care, we pay for high volume of care; this means that providers of services make more money by treating a higher number of patients. This system of high volume payment structures does little to provide significant health benefits to the patient.

In my former role as Director of Benefits for a Fortune 500 company for 25 years, the traditional model of purchasing health care related services often frustrated me. In the past, most payment models were based on widgets of service. In the case of medical providers, the payment was based on the number of services performed; for consultants, it was on the number of hours consumed.