The changes in healthcare management coming online in the next two years are enormous, said Howard Gold, of North Shore-Long Island Jewish Health System, moderator of the panel.
"The massive and dramatic changes are an attempt to control the unsustainable costs and the enormous disparity in access to health coverage," Gold
The major change in the coming years will be a shift from payment for specific procedures to payment for wellness and prevention on a prepaid annual basis, Gold
"If you pay doctors for procedures, they'll do procedures," said Gold
noted that emergency room care for uninsured patients contributed to the "meltdown" of St. Vincent's Hospital
, which closed in 2010 in Greenwich Village.
"Forty hospitals closed in New York City in the past 10 years and 10 more will probably close," he
North Shore-L.I.J. Health System, where Gold
is a senior vice president, includes Lenox Hill Hospital
on the Upper East Side.
The health system is also developing the Comprehensive Care Center
and stand-alone emergency department being developed in the O'Toole Pavilion of the former St. Vincent's Hospital