Design of Integrated Care and Expansion of Health Insurance for the Underserved and Medically Indigent Population

  • Thomas T. H. Wan
Chapter

Abstract

The US health-care system fails to deliver integrated care through community health centers. The Medicaid crisis encountered by every state is pervasive and has adversely affected emergency departments’ operation and function. The proposed managed care plan for Medicaid beneficiaries is an attempt to develop fundamental principles of reengineering or restructuring the community-based delivery system with applications of health information technology (HIT). This chapter illustrates important integrated care principles for restructuring community health centers to serve the underserved population in the United States. We present a schema for employing health-care information technologies in the design of a community-based delivery system. Based on the best practices of community health centers, we analyze the factors influencing their effectiveness and efficiency. The principles of an integrated care management plan are formulated. Expected outcomes of the HIT-based delivery system are discussed.

Keywords

Indigent care Medicaid Health information technology Community-based care Integrated care Community health center 

References

  1. Alker, J., & Portelli, L. (2004, April). What could a waiver to restructure Medicaid mean for Florida?(Issue brief). Retrieved July, 15, from Winter Park Health Foundation website: http://www.wphf.org/pubs/briefpdfs/Medicaid.pdf
  2. Briere, R. (2001). Crossing the quality chasm: A new health system for the 21st century. National Academy Press: Washington, DC.Google Scholar
  3. Donaldson, M. S., Corrigan, J. M., & Kohn, L. T. (Eds.). (2000). To err is human: Building a safer health system (Vol. 6). Washington, DC: National Academies Press.Google Scholar
  4. Enthoven, A. C., & Tollen, L. A. (2005). Competition in health care: It takes systems to pursue quality and efficiency. Health Affairs, 24, W5.Google Scholar
  5. Fielding, J. E., & Briss, P. A. (2006). Promoting evidence-based public health policy: Can we have better evidence and more action? Health Affairs, 25(4), 969–978.CrossRefGoogle Scholar
  6. Marathe, S., Wan, T. T. H., Zhang, J., & Sherin, K. (2007). Factors influencing community health centers’ efficiency: A latent growth curve modeling approach. Journal of Medical Systems, 31(5), 365–374.CrossRefGoogle Scholar
  7. Shortell, S. M., & Schmittdiel, J. (2004). Prepaid groups and organized delivery systems. In A. C. Enthoven & L. A. Tollen (Eds.), Toward a twenty-first century health system (pp. 6–13). San Francisco: Jossey-Bass.Google Scholar
  8. Tilson, H., & Berkowitz, B. (2006). The public health enterprise: Examining our twenty-first-century policy challenges. Health Affairs, 25(4), 900–910.CrossRefGoogle Scholar
  9. U.S. News. (2017). Health buss: The U.S. has the worst health care system compared to other countries. https://health.usnews.com/wellness/health-buzz/article.
  10. United States Ranks Among the World’s Best Countries. (n.d.). Retrieved July 15, 2017, from https://www.usnews.com/news/best-countries/united-states
  11. Wan, T. T. H. (2002). Evidence-based health care management: Multivariate modeling approaches. Boston: Kluwer Academic Publishers.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Thomas T. H. Wan
    • 1
  1. 1.College of Health and Public AffairsUniversity of Central FloridaOrlandoUSA

Personalised recommendations