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Sunday, August 23, 2009

Health Care Reforms and Medical Necessity Determination

The United Sates of America is having the nastiest crisis of recession and down turn. The result is so awful that a record number of Americans received food stamps. The costs of entities have gone up and the joblessness is on its peak as five million US jobs have been lost. The disaster is affecting the nation on the whole. It has a psychological and physical impact on every single American. The significance of health care system can not be denied and there is an urgent need to bring reforms in health care.

There is a lot of talk about healthcare reforms, it is the buzz now a days. President Obama is zealous to bring a change, a revolution in healthcare. The bottom line is to bring reforms with innovation to lower down the cost, improve quality and coverage and protect consumer choice. The ultimate vision is to provide every single American with quality medical services.

It is no doubt that the medical errors are one of the most important factors that increases the cost of healthcare because it can create many other complexities to the existing problems. Medical error is an inaccurate or incomplete diagnosis or treatment of a disease which can harm the patient and it can risk his life. When unsuitable methods are used and the execution is inaccurately, it can take a life away which can be effectively prevented through the use of an EHR system.

President Obama is missing a part which is Medical necessity determination and is as important as medical errors. The "Obama strategy" is absolutely on the right track but the "tactics" are not complementing the strategy. Tactics the meat and bread of the strategy and the "doing aspect" is just not aligned with the strategy. The strategy is to bring reforms, promote scientific and technological advancement and lower down the cost by eliminating or reducing the medical errors whereas we need to add another factor to it of medical necessity determination. An altogether new E H R system with intelligence can turn it on.

President Obama's focal point is to invest in health information technology and advancement but by just spending the problem would not be solved. The currently existing E H R systems are not supportive and intelligent to grasp the necessity determination of a medical treatment. First there is a need to evolve the Electronic Health Record system and transform the system to intelligent system by injecting intelligence in it then it will be able to perform what is required.

With more than 15 years of experience and expertise, Manzoor Hasan MBA, MST, CPA, is CEO at e-Health Vision Inc. and a seasoned consultant in healthcare and other corporate entities. He has extensive expertise in medical management, physician recruitment and as a liaison in negotiations with hospitals, managed care organizations, group practices, HMOs and others.



Article Source: http://EzineArticles.com/?expert=Manzoor_Hasan

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