MAARS Conflict Resolution & Quality Outcome for the Healthcare Industry  
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AQlternative Dispute Resolution

MAARSS uses a MultiParty model which is unique and creative! Our experts directly show that an imbalance within essential working relationships and systems creates negative consequences for patient care, safety and the organization. Negative results manifest themselves in medical errors, complications, unnecessary procedures and decreased quality of services. With you, we can solve problems by building bridges with all partners in the healthcare sector.

By use of the MultiParty Model we know that it also has a positive impact on your company's bottom line by targeting loss prevention and risk assessments. We work with you to save money by identifying the origins and root causes of conflict by avoiding the adversarial win-lose approach and move toward interest-based resolution!

To learn more about MAARSS, please visit our FAQ page by clicking here.

 


Bridges to Various Healthcare Sectors


Purpose

Creating a collaborative effort amongst all healthcare related parties, together we identify conflict origins and develop workable mutual interest based resolutions.

Example:

Identified Disruptive Imbalances do exist within:

  • Patient Care and Safety Disputes
  • Public/Private Sector Disputes
  • Medical Staff / Hospital Disputes
  • Medical Groups / Hospital Disputes
  • Nursing Staff / Hospital Disputes
  • Financial / Expenses
Using our MultiParty Model we build the bridges of resolution to improve these imbalances.

Another example of this imbalance exists with the Insurance Industry.

Example:

Identified Disruptive Imbalances do exist within:

  • Healthcare Dispute
  • Eligibility Dispute
  • Union / Employer Dispute
  • Termination of Benefits Dispute
  • Claims Disputes
  • EEO Disputes

Another example exists within the company between the employer, employee and benefits consultant.

Example:

Employers are purchasers of healthcare insurance and focus predominantly on price.

ZERO-SUM COMPETITION

  • wrong objective (emphasis on low price rather than value/outcomes)
  • wrong information (plan information rather than quality outcomes)

POSITIVE-SUM COMPETITION

  • shift from "who pays" to "who provides best value and health promoting care"?
  • move to cost and quality to effect value outcome based on money spent.

Employers will need to lead the way to:

  • discourage wrong type competition
  • encourage insurers to offer plans that compete in better ways

We help employers understand the positive and necessary relationship between cost and quality. We have a keen commitment to understand your needs and feelings to provide affordable healthcare for your family of employees. That is why we tell you "what you should do, how you should do it and why" because certainty gives you the trust to work with us on your behalf. Our success relies on your success. We want you to become the expert and take the necessary action and not make a mistake.

An important article published by the Harvard Business Review "Redefining Competition in Healthcare", by Michael Porter and Elizabeth Olmsed Teisberg, June, 2004 sheds some light on these issues.


Reduce Conflict and Cost

As a management and conflict resolution service, we continually think of new ideas that will help reduce cost, reduce conflict and increase patient safety. Having experience in and knowing how the healthcare system functions gives us that competitive edge. By brainstorming amongst HMOs, physicians and professional liability insurers, we collectively strive to construct systems that will reduce liability premiums and increase professional reimbursement.

 

For the HMO

Money is saved with the collaboration of physicians through quality outcome data leading to avoidance of overuse, misuse and underuse of valuable healthcare resources. A positive surge in trust from physicians, creating improved working relationships and higher reimbursement to physicians.

For the Physician

Scientific based quality outcome data is negotiated with insurers for higher reimbursement. Safer patient care outcomes are valuable to provide risk management benefits.

For the Liability Insurers

Less money paid for claims by providing quality outcome data. Consideration for reduced liability premiums for physicians who provide this outcome data.

For the Patient

Greater safety, satisfaction and quality improvement

For the Community Served
Working toward covering the uninsured.


This Equals:

Saved Time, Cost and Conflict

The key to reduced time, cost and conflict is by targeted earlier intervention

 

To learn more about MAARSS, please visit our FAQ page by clicking here.

 
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