Now is the time for medical communities everywhere to examine existing processes critically, pursue thoughtful advances in how we deliver care, and promote a culture that engages staff in the improvement process. Taking care of patients is not only about the therapies we provide but also having the most effective care delivery systems possible. By that metric, American health care still has significant room to grow.
Hospitals should be places of safe health care delivery and recovery from acute or chronic illness. You should also be a smart patient. Take inventory of your kidney health prior to coming to the hospital and share these answers with your health care practitioner so that they are reflected in your medical records.
The ACA is doing a tremendous amount of good, getting insurance to millions of people who otherwise would be uninsured, and lowering costs for many more -- but the use of these skinny networks threatens to undermine all the progress we've made if it's left unchecked. Here are some of the biggest problems that skinny networks can cause -- problems that are already affecting many patients.