Healthcare Organization and Delivery Strategies, Models, and Cost Savings

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Background

Health care costs continue to grow, which has imposed a heavy burden for the healthcare system in the US. In 2019, health care spending amounted up to $3.8 trillion, or $11582 per person, and its proportion of gross domestic product reached 17.7 percent (CMS NHE fact sheet, 2020). There are numerous areas that contribute to the rising costs, including new technology, chronic disease conditions, life style, administrative expenses, hospitals, pharmaceuticals, mandated insurance benefits, aging, end-of-life care, defensive medicine, and health disparities. Stakeholders have devised various interventions to bend the cost curve. Despite those efforts, healthcare costs have continued to rise, warranting further examination of the underlying reasons and effective interventions.

Cost reduction for unnecessary healthcare has become a national priority. There are numerous areas that contribute to the rising costs, however, not all the areas can be changed easily or quickly, such as chronic disease conditions, aging, end-of-life care. Other areas accountable for rising costs can be intervened through approaches such as, innovative financing and insurance policies, payment models, disease management or clinical practice change, and social determinants of health. This c focuses on innovative healthcare organization and delivery strategies and models. Specifically, theoretical rationale and empirical evidence of these strategies and conceptual models in cost savings are of interest. Discussing innovative healthcare organization and delivery strategies and models has practical policy implication. Rising costs are a complex topic as it is related to multilayers and multi-dimensions. To tackle such a complex metrics problem, it requires concerted efforts from multi-stakeholders. Innovative healthcare organization and delivery strategies and models are a starting point, this work may pave the way for other promising approaches for cost savings in the future.

This Research Topic will examine the effect of on innovative healthcare organization and delivery policies, strategies and models on healthcare cost savings. These models can be within and across primary care settings and hospital settings. Examples of healthcare organization and delivery models include but are not limited to patient centered medical home, accountable care organizations, and so on. These models are designed to provide high quality care, and reduce unnecessary duplication of services, and prevent medical errors. These areas can be considered:

• Areas for unnecessary healthcare utilization and costs;

• Extent of Healthcare cost savings and reductions;

• Promising or proven effective healthcare organization and delivery policies;

• Promising or proven healthcare organization and delivery strategies;

• Promising or proven healthcare organization and delivery models.

Various types of manuscripts are of interest. Research articles are preferred, followed by research report or data report, qualitative systematic review, conceptual framework, perspective, opinions, or commentary. When no data are available currently for analysis to provide empirical evidence, qualitative papers such as conceptual framework and point of view may also be considered.

Keywords: health care, costs, health care organization, cost saving, social determinants of health, healthcare delivery strategies

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