14 of 18 people found the following review helpful
America's Health Care System is Now Like the Horse and Buggy Industry in 1890,
This review is from: Redefining Health Care: Creating Value-Based Competition on Results (Hardcover)
This book by Porter and Teisberg contains the only new and untried model for health care in 70+ years. Conceptually, it is remarkably simple: regroup health care thinking and payment to providers by disease, what the authors call "medical condition." Like PPOs in the 1980s, this essentially private solution can be put in place quickly. It requires no government action or legislation, as a legal matter is not insurance in key respects and thus is not limited to insurers and HMOs but can be implemented by a large variety of innovators, without state insurance regulation. Among its breakthroughs are its focus on health care results for patients, and its rejection of two conventional assumptions: that doctors and hospitals should be paid separately regardless of patient outcome and that health care is local.
Their book makes America's health care system today like the horse and buggy industry in 1890 -- and it's a detailed guide to the automobile.
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