The Roles of Academic Health Centers in the 21st Century A Workshop Summary (2002) / Chapter Skim
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Section I: Changing Needs and Trends in Health Care
Section I: Changing Needs and Trends in Health Care
Pages 4-10
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From page 4... ...
However, in light of recent events in the business sector, such as Enron, he posited that while some techniques can be drawn from the business model, academic health centers need to meet a higher threshold of performance to fulfill their special role in society. Under society's "old" social contract with AHCs, the costs of conducting their missions in education, research and patient care were paid; in return, AHCs provided those services, as well as national pride and worldwide recognition.
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Companies may change their benefit structures in response to rising health care costs. As a result, patients may have to bear a greater portion of health care costs and insurers may force profitable patients to shift their care to community institutions.
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In terms of tax exemption, Dr. Reinhardt suggested an alternative approach in which all institutions become taxable entities, but each time that charity care is proviciect to a patient, a tax credit would be issued as a credit against taxes owecl.
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function to develop models and pilot programs for improved delivery of care, he questioned if they are the best place for designing implementation strategies. For example, in his experience, when Aetna wanted to purchase disease management programs, the AHCs could not compete with private vendors on efficiency, price or other factors, even though the vendors were probably using models developed at AHCs.
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17 years it can take between a scientific advancement and implementation into practice. In terms of the education role, health plans need AHCs to train health professionals in the skills and knowledge needed in practice, with training in using information technology to manage practices an(l support clinical decision-making.
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compared with community hospitals. In the mid- 1 990s, research suggested that managed care plans were only going to pay an additional 10 percent at best, introducing a major financial change for AHCs.2 John Rowe suggested that health plans are "balanced" payers that help balance the budget for academic health centers.
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to what extent AHCs need to be integrated within a university in order to integrate across the clisciplines and a(lclress social determinants of health, but Ralph Snyderman noted that getting closer to the university may provide certain benefits, but can also create even more complexity in decision-making. John Porter noted that although it has been difficult to achieve and remains a work in progress, the federal government s Government Performance and Results Act (GPRA)
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