also be advocates for treatment. They are learning more about treatments and effects
(through reading, the Internet, etc.) and they are asking questions about their treatment.
They are becoming “partners” in their treatment.
Environmental issues are becoming
big issues for hospitals. Managed care health plans and the Health Care Finance
Administration (HCFA) are developing value-based reimbursement systems. The Massachusetts
Blue Cross health plan has a pilot program that will reward hospitals by paying them more
in reimbursement if they perform better in these prevention processes. HCFA will reimburse
hospitals at a higher level for by-pass patients who are discharged on specified secondary
prevention therapies. That’s compelling and makes good business sense.