In 1960, when corporate mission statements were rare, I wrote one that has by no means changed. Marilyn Tavenner, the former head of the CMS who stepped down simply six months ago, will now lead the nation’s dominant medical health insurance lobbying group. Tavenner will now be representing and lobbying on behalf of among the nation’s largest health insurers—the identical companies who’re regulated by the CMS and are devoting more of their enterprise to Medicare and Medicaid within the form of privatized managed care.
One would possibly assume such arrangements could be worse for sufferers, health care professionals and the general public at massive. The constant interchange of well being care insiders amongst authorities, large well being care corporations, and the lobbying and authorized companies which signify them definitely means that well being care, like many other sectors, appears to be run by an amorphous group of insiders who owe allegiance neither to authorities nor business. Nevertheless, true health care reform would require curbing the extreme types of conflicts of interest created by the revolving door. Silly me, right here I thought the mission of hospitals was to look after the injured and sick.
So the hospital apparently did improve its financial efficiency in the course of the reign of Dr Saluzzo, however on the expense of fairly just a few workers, together with health professionals serving vulnerable sufferers. The press launch referred to errors in recording expenses, receivables and property and mentioned the system was imposing a brand new set of controls to reconcile accounts and strengthen inside auditing. This is the well being care model of the rising income inequality that the US public is starting to discover.
However, heaven forfend that a hospital board of trustees would try to withhold pay for a CEO, even pay provided years after that CEO’s departure, that may violate a beforehand written contract, even new information discovered may now provide causes to problem that contract. As we now have mentioned earlier than, in US health care, the highest managers/ administrators/ bureaucrats/ executives – whatever they should be called – proceed to prosper ever extra mightily as the people who actually deal with sufferers appear to work more durable and more durable for much less and less.
So to repeat, true well being care reform would put in place leadership that understands the well being care context, upholds well being care professionals’ values, and places sufferers’ and the public’s well being forward of extraneous, particularly quick-time period financial issues. We need well being care governance that holds health care leaders accountable, and ensures their transparency, integrity and honesty. I am the editor for this text, chock full of local information about our native Community Residence Support network.