Ticino Management - The paradigm of integrated care
A novel alliance between inpatient, outpatient, and a health insurer. At the center is the patient, 'rewarded' by the best coordination of the care pathway and a logic of full capitation financing to combat a volume-induced system. A paradigm that, after the christening of the Réseau de l'Arc and the new Rete Sant'Anna, Swiss Medical Network aims to spread nationwide.
Punctually the alarm bell of rising health premiums rings. But this is but the inevitable consequence of a health care system that is dysfunctional in its assumptions, where fragmentation and overlapping responsibilities between the federal and cantonal governments are compounded by the fatal triangulation between stakeholders that incentivizes spending instead of curbing it-providers, patients and insurance companies, all of whom are induced to make volume. Brake instead pulled on necessary reforms that, hostage to decades of bickering, risk coming to light already old. The elephantine gestation of Tardoc and Efas, and their troubled delivery, is confirmation of this.
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