The delivery system matters [0.03%]
Francis J Crosson
Francis J Crosson
To meet the quality, affordability, and access challenges of today's health care system, the Institute of Medicine's (IOM's) Crossing the Quality Chasm report described the critical competencies of a twenty-first-century health care system....
Robert A Berenson
Robert A Berenson
Despite growing documentation that the conditions needed to support competition in health care do not exist, consumer-directed health care has been offered as the new market-based solution to cost inflation. Yet typical consumer-based insur...
Competition and new technology [0.03%]
Mark V Pauly
Mark V Pauly
Most real medical spending growth is accounted for by beneficial but costly new technology. This paper argues that a missing dimension of our concepts of competition among health plans is a focus on their policy toward new technology. In pr...
Paul B Ginsburg
Paul B Ginsburg
Understanding the roller-coaster experience with the use of market forces in health care over the past ten years provides important context for discussions of likely future developments in the nature of competition. The period began with ac...
Bryan E Dowd
Bryan E Dowd
Despite widespread acceptance of the competitive market model in the U.S. health care system, debate continues regarding the optimal form of competition and the patient-professional relationship. The managed care model envisions organizatio...
Mark A Hall,Clark C Havighurst
Mark A Hall
Although health savings accounts (HSAs) and managed care are often seen as antithetical, they can be integrated in fruitful ways. Moreover, combining these approaches would serve policy objectives by clarifying the payment responsibilities ...
James C Robinson
James C Robinson
The future of market-oriented health policy and practice lies in "managed consumerism," a blend of the patient-centric focus of consumer-driven health care and the provider-centric focus of managed competition. The optimal locus of incentiv...
Felicia Marie Knaul,Julio Frenk
Felicia Marie Knaul
Fairness in finance is an intrinsic and challenging goal of health systems. Mexico recently devised a structural reform that responds to this challenge. Through a new system of social protection in health that will offer public insurance to...
Federalism and health policy [0.03%]
Richard P Nathan
Richard P Nathan
This paper presents a cyclical theory of U.S. federalism and social policy: Many social policy initiatives are tested and refined at the state level, especially during conservative periods, and later morph into national policies. The paper ...
John F Cogan,R Glenn Hubbard,Daniel P Kessler
John F Cogan
Although the U.S. health care system has made remarkable advancements, it is costly and wasteful, and it leaves many people without appropriate care. The challenge for public policy is to enable consumers and taxpayers to obtain good value ...