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The DPC Concentric Health Relationship Platform: Catalyzing Social Entrepreneurship In Health Care Services Case Study Help Analysis With Solution Online

 
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The existing U.S. health care system is complex. Most individuals have health insurance coverage provided by various third-party payers. The payers include employers, health insurance carriers, and government-sponsored programs, such as nationally administered Medicare and Medicaid, which is offered by all 50 states with some support from the federal government. Each payer’s program varies in terms of the health services covered as well as the amount of the cost of care allocated back to the individual in the form of visit copayments, individual deductibles, and other cost-sharing strategies. These offerings are administered by various health plans and many payers offer multiple administrative alternatives. For example, Medicare is administered nationally, but there are multiple “Medicare Advantage” alternatives available as well as the basic program offering. In addition, there are numerous Medicare supplemental plans available to increase the benefits for the individual recipient. Founded in 2014, DPC Concentric Health System’s (DPC Concentric’s) mission is to identify the people, strategies, and capital needed to help the U.S. health care system heal itself. Based on continuous improvement design driven by continuous learning, DPC Concentric’s human capital/technology initiatives deploy the power of entrepreneurial physicians in a free market. This social entrepreneurial approach responds distinctly to the incumbent relationship infrastructure of “fee-for-service” third-party reimbursement at the provider and self-funded payer levels. The DPC Concentric continuous-improvement infrastructure becomes practical, achievable, and self-perpetuating as incumbent leadership commits to catalyzing outcome-based health care solutions. It is distinctly relationship based, providing incumbent advisers ample opportunity to lead as continuous-improvement consultants to physicians and employers.