Sunday, July 20, 2014

Does Wisconsin Even Have A Doctors Office

The larger health care provider groups (hospital systems) have improved the structure of their care delivery in the face of payer (public and private insurance) reimbursement changes.   Payers have tightened the benefit by progressively reducing reimbursement amounts with hospital readmissions.  Payers have increasingly contracted with hospital systems to perform outpatient procedures rather than over night hospital stays. 

To manage change smaller rural hospital and clinic providers have sold their network of service to larger health care systems with a multi state delivery platform.  When a large health care system assumes operational authority the smaller provider network is transformed to mesh with the huge multi state delivery platform.

This new model of serving the community can include a few noticeable changes. 
1. Tighter inventory control
2. Rapid hospital path
3. Equipment upgrades with the expectation of performing more invasive interventions
4. Exemption from property taxes for non-profit under 70.11 (4m)

The buildings maintained by the larger health care system enclose more physical space and expand the menu of available services under an individual location.  Longer hours are staffed to best meet the more urgent, emergent needs of the community. 

Rural Wisconsin community tax assessment committees are soon surprised to discover the transformed locations are not just a Doctor's office and now meet the legal property tax exemption.  Outpatient staff are surprised to learn they must re-educate to best perform the higher level interventions.  Inventory is managed much more accurately with technology.  Transitions to more advanced care is explicitly defined within an evolving evidence based process. 

Home Care Path celebrates 4 years of successfully serving seniors in South


Central Wisconsin
  
 
 

 
 

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 Home Care Path  www.homecarepath.com and the Wisconsin PATH ALONG model deliver an advanced supportive care service.  Helping seniors in the home, with clinic visits, at the hospital, nursing home and assisted living facility.  Helping seniors downsize with a move in to an adult child's home. 2014 rates are 20.00 per hour.  Simply call 608-432-4286 to schedule an interview.  We can be there when you are working.  We accept long term care insurance.  Services can be tax deductible.  Help with resources and the transition from private payment to public funded programming.  Valuing home and human life

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