Nephrology Care in a Fully Integrated Care Model: Lessons from the Geisinger Health System

[摘要] At this time, there is a clear understanding of the need for healthcare reform in our country. The key stakeholders—patients, physicians, health insurers, and the federal government—recognize that changes are needed to improve the quality of care and to contain the cost of care. In particular, >70% of patients are dissatisfied with the systems of care that currently exist—citing, among other factors, poorly coordinated care and excessive costs (1). Purchasers of health insurance are frustrated with the cost of health care and the mediocre performance on key health care metrics that exist in the United States (2). Similar concerns have been expressed in the nephrology arena (3–5). In response to these deficits, the Centers for Medicare and Medicaid Services (CMS) have put forth a “triple aim” for health care reform that includes the following tenets: improving the individual experience of care, improving the health of populations, and reducing the per-capita cost of health care (6).

[学科分类] 泌尿医学

[关键词] Bone marrow necrosis;Sickle cell disease;Hyperhemolysis syndrome