The healthcare system accounts for almost one-fifth of the US GDP. However, studies have estimated a third of spending can be attributed to waste in the system. As the industry faces mounting pressure to provide more affordable, consumer-centric care, stakeholders will have to identify and address existing waste to help manage cost. As providers and industry organizations implement solutions and strategies to improve quality and reduce cost, it will be important for stakeholders to focus on the areas that will drive the greatest ROI.
Addressing waste and truly managing the total cost of care will require a fundamental overhaul of the current care delivery process. Care redesign—the process of reengineering system-level clinical care delivery to improve quality, increase operational efficiency, reduce clinical variation, and manage the total cost of care—can help organizations transform to meet these goals.
Leading Health Systems (LHS) can use several strategies to evolve the healthcare system into one that minimizes waste but comprehensively supports patient and consumer needs, including to:
- Streamline clinician workflows and backend processes
- Develop and communicate clear pricing models
- Establish and ensure adherence to evidence-based care pathways
- Develop robust care coordination and transitions of care models