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o healh racking, such as ully elecronic personal medical records and sel-reporinghrough social neworking applicaions. The curren adminisraion has a head sar onhis process, since he economic simulus package included a provision esablishing heOfce o he Naional Coordinaor or Healh Inormaion Technology, bu any sysemha ofce creaes mus enable he key eaure o maching o paiens achievemen ohealh goals wih heir providers reimbursemen.

The challenges o conrolling hecoss o chronic diseases are be-ing el across he counry, andwill likely be amplied i healhreorms increasing access ohose wihou healh insuranceare passed. In order or any suchhealh reorm o have a susain-able cos in he long erm, pay-men reorms will be needed. Theshor-erm coss esablishinga more robus elecronic healhracking sysem and o makinghe rs addiional paymens oproviders ha are helping heir

paiens mee healh goals will be ouweighed in he long run wih ewer and betermanaged chronic diseases. Regardless o wheher reorms increasing access are passed,he exising healh care sysem, which already consumes 1/7h o GDP and coninues ogrow, should be reshaped along similar lines.

Next Steps

A saring poin or his new reimbursemen model is sae or ederal healh insuranceprograms, including Medicare, Medicaid, or sae healh insurance opions, like Com-monwealh Care in Massachusets. Medicare especially may bene rom he improvedmanagemen o chronic diseases, since he greaes coss o chronic diseases are ound

in older paiens.

Talking Points

Fee-or- service reimbursemen sysems,like Medicare, reward providers who allowpaiens condiions o worsen o he poinwhere hey need expensive inervenions.Providers who preven heir paiens romdeveloping chronic diseases or help heir

paiens keep heir chronic diseases in checkreceive very litle nancial reward.Conrolling he coss o chronic diseases willbe imporan o conrolling overall healh carecoss.

Halvorsen, George. 2007. Healh Care Reorm Now!. San Francisco: John Wiley & Sons, Inc.

Ceners or Disease Conrol and Prevenion. Prevening Diabees and Is Complicaions. Revised Sepem

ber 5, 2008. htp://cdc.gov/nccdphp/publicaions/acshees/Prevenion/diabees.hm

Medicine Online. Seve Coll. Think Tank blog pos: June 9, 2009.

Sources

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