Health policy 2016: implications for geriatric urology

Current Opinion in Urology
Anne M Suskind, J Quentin Clemens

Abstract

The US healthcare system is undergoing fundamental changes in an effort to improve access to care, curtail healthcare spending, and improve quality of care. These efforts largely focused on Medicare, and therefore, will have a fundamental impact on the care of geriatric patients. This article reviews contemporary health policy issues, with a focus on how these issues may impact the care of geriatric urology patients. The Affordable Care Act has broadened the scope of Medicare coverage. Future Medicare reimbursement will be increasingly tied to care coordination, quality reporting, and demonstration of appropriate outcomes. Additional research is needed to better define the comparative effectiveness of urologic therapies in geriatric patients. Workforce projections indicate that there is a shortage of urologists in many areas of the country, and that this shortage will worsen over time unless a new funding model is instituted for graduate medical education. Medicare spending drives many health policy decisions. Therefore, few health policy topics are unique to geriatrics or geriatric urology. However, certain health policy topics (e.g., care coordination and risk-stratification) are particularly germaine to the elderly patients....Continue Reading

References

Nov 2, 2011·Journal of General Internal Medicine·Mark D Schwartz
Feb 24, 2012·The New England Journal of Medicine·Marsha Gold
Nov 15, 2012·Annals of Family Medicine·Stephen M PettersonAndrew W Bazemore
Apr 2, 2015·The New England Journal of Medicine·David Blumenthal, William Hsiao
May 7, 2015·The New England Journal of Medicine·David BlumenthalRachel Nuzum

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Citations

Dec 18, 2018·Urology Practice·Peter S KirkTed A Skolarus

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