Abstract
The Institute for Healthcare Improvement (IHI) defined Triple Aim as simultaneous pursuit of three goals including improving the health of population, improving the experience of care and reducing the per capita cost of care. This approach aims at optimizing the performance of health systems which is of crucial importance as currently United States (U.S) spends 18% of its gross domestic product (GDP) on health care and this number is expected to rise in the near future. The IHI believes that the healthcare reform must be aimed at achieving Triple Aim to improve the quality of care and lower the cost of care. In the U.S., the Centers for Medicare and Medicaid Services (CMS) launched initiatives like Physician Group Practice (PGP) demonstration and PGP transition demonstration, to test the comparative effectiveness of a new reimbursement mechanism that includes pay for performance (P4P) for Medicare beneficiaries in physician group practices (PGP’s). The non-inclusion of oral health services as a part of these initiatives was questionable. Numerous studies indicate that oral health impacts the overall health of a person and receiving regular oral care reduces the total health care cost. The Accountable Care Organizations (ACO) formed under the Patient Protection and Affordable Care Act (ACA) to improve the quality of Medicare services did not mandate the provision of oral health care. This chapter enumerates a variety of initiatives undertaken by the U.S. government to improve the quality and cost of health care. The authors discuss about the importance of oral health and how non-provision of oral care in these initiatives would be detrimental to achieving “True Triple Aim”.
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Panny, A., Krueger, K., Acharya, A. (2019). Achieving the ‘True’ Triple Aim in Healthcare. In: Acharya, A., Powell, V., Torres-Urquidy, M., Posteraro, R., Thyvalikakath, T. (eds) Integration of Medical and Dental Care and Patient Data. Health Informatics. Springer, Cham. https://doi.org/10.1007/978-3-319-98298-4_2
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