Challenges in the Era of Coding and Corporatization

Obstet Gynecol Clin North Am. 2019 Sep;46(3):553-561. doi: 10.1016/j.ogc.2019.04.012. Epub 2019 Jun 21.

Abstract

The past 40 years have witnessed a major redesign of health care, largely driven by rampantly increasing costs and the perception of lack of better outcomes to justify those costs. Many demographic changes have also challenged the women's health care provider workforce, and evolving new payment systems are likewise a source of angst for these providers. Managed care is seeking to cut costs, and the challenge is to do so without sacrificing quality. Burnout is a new challenge in the present environment. There is now an opportunity to meet these challenges and provide the excellent care our patients deserve.

Keywords: Corporatization of medicine; Fee-for-service; Population health; Prevention; Primary care; Specialist in obstetrics and gynecology; Value-based care.

Publication types

  • Review

MeSH terms

  • Delivery of Health Care / economics
  • Delivery of Health Care / trends
  • Female
  • Gynecology / economics
  • Gynecology / trends*
  • Health Personnel / trends*
  • Humans
  • Obstetrics / economics
  • Obstetrics / trends*
  • Primary Health Care / trends
  • Quality of Health Care
  • Specialization
  • United States
  • Value-Based Health Insurance
  • Women's Health