Consumer-Driven Health Care: Implications for Providers, Payers, and Policy-Makers
Professor Herzlinger documents how the consumer-driven health care movement is being implemented and its impact on insurers, providers, new intermediaries, and governments. With additional contributions by health care’s leading strategists, innovators, regulators and scholars, Consumer-Driven Health Care presents a compelling vision of a health care system built to satisfy the people it serves.\ This comprehensive resource includes the most important thinking on the topic and compelling case...
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Increased consumer control of health care is shaking up the medical and insurance systems. In Consumer-Driven Health Care, Harvard Business School’s acclaimed professor Regina E. Herzlinger states that hospitals, doctors, benefits administrators, accountants, government policymakers, and insurers had better adapt or else they will be replaced.Professor Herzlinger documents how the consumer-driven health care movement is being implemented and its impact on insurers, providers, new intermediaries, and governments. With additional contributions by health care’s leading strategists, innovators, regulators and scholars, Consumer-Driven Health Care presents a compelling vision of a health care system built to satisfy the people it serves."Professor Herzlinger provides a compelling argument for consumer-driven health care. The health care system has been marked for decades with rising costs and consumer dissatisfaction. Professor Herzlinger challenges the reader to look beyond solutions that are based on what consumers should want to solutions that give consumers what they want." –Barbara Bigelow, Ph.D., Co-Editor, Health Care Management Review, Professor of Management, Clark University Graduate School of Management"Regina Herzlinger has a formidable reputation as an expert on reforming health care. There are lessons here for all of us who care about reforming our health systems to make them better." –David Willets, MP, Shadow Work and Pensions Secretary and Member of Parliament , UK "This book is a must-read for anyone who wants to know why the American model of health insurance benefits that has been around for about 50 years is all washed up, and what is most likely to replace it." –Roger Feldman, Blue Cross Professor of Health Insurance, University of Minnesota"Professor Herzlinger can persuade corporate CEOs, Washington policymakers, benefits administrators, and hospital executives to reshape their strategy based on a market run by consumers. This book translates health economics into simple English, reducing the "mystery-inside-a-conundrum" field into everyday transactions like selecting a health plan that any health care consumer can recognize. Consumer-Driven Health Care will be a top candidate for health care’s 'book of the year.' " –Russell C. Coile, Jr., consultant, editor, Russ Coile’s Health Trends, and author, Competing On Excellence (2003)
Increased consumer control of health care is shaking up the medical and insurance systems. In Consumer-Driven Health Care, Harvard Business School's acclaimed professor Regina E. Herzlinger states that hospitals, doctors, benefits administrators, accountants, government policymakers, and insurers had better adapt or else they will be replaced. \ Professor Herzlinger documents how the consumer-driven health care movement is being implemented and its impact on insurers, providers, new intermediaries, and governments. With additional contributions by health care's leading strategists, innovators, regulators and scholars, Consumer-Driven Health Care presents a compelling vision of a health care system built to satisfy the people it serves.\ "Professor Herzlinger provides a compelling argument for consumer-driven health care. The health care system has been marked for decades with rising costs and consumer dissatisfaction. Professor Herzlinger challenges the reader to look beyond solutions that are based on what consumers should want to solutions that give consumers what they want."\ —Barbara Bigelow, Ph.D., Co-Editor, Health Care Management Review, Professor of Management, Clark University Graduate School of Management\ "Regina Herzlinger has a formidable reputation as an expert on reforming health care. There are lessons here for all of us who care about reforming our health systems to make them better."\ —David Willets, MP, Shadow Work and Pensions Secretary and Member of Parliament , UK\ "This book is a must-read for anyone who wants to know why the American model of health insurance benefits that has been around for about 50 years is all washed up, and what is most likely to replace it."\ —Roger Feldman, Blue Cross Professor of Health Insurance, University of Minnesota\ "Professor Herzlinger can persuade corporate CEOs, Washington policymakers, benefits administrators, and hospital executives to reshape their strategy based on a market run by consumers. This book translates health economics into simple English, reducing the "mystery-inside-a-conundrum" field into everyday transactions like selecting a health plan that any health care consumer can recognize. Consumer-Driven Health Care will be a top candidate for health care's 'book of the year.' "\ —Russell C. Coile, Jr., consultant, editor, Russ Coile's Health Trends, and author, Competing On Excellence (2003)
PrefacexviiIntroductionxixPart 1Why We Need Consumer-Driven Health Care11Fear and Loathing of Defined Benefit Health Insurance32The Frayed Safety Net283The Solution574Consumer-Driven Health Insurance: What Works745Health Care Productivity1026The Silent Revolution1277Scare Stories, Opponents, and the Role of Government1538How to Make Consumer-Driven Health Care Happen195Part 2Vision and Models1999The Future of Twenty-First Century Health20310How Employers Can Make Consumer-Driven Health Care a Reality21311Designing Health Insurance for the Information Age22412Risk Adjustment: An Overview and Three Case Studies24213Consumer-Driven Health Care: Dialogues with Socrates26214Employee Tax Payments and Consumer-Driven Health Care27015The Implications of Tax Rulings on "Savings Accounts"27916You Just Can't Pay Tom, Juan, and Ashley the Old Way Anymore28417The Federal Employees Health Benefits Program29118Health-Based Premium Payments and Consumer Assessment Information29819The Buyers Health Care Action Group: Creating Incentives to Seek the Sick30920An Insurance CEO's Perspective on Consumer-Driven Health Care31721An Alternative to Managed Care: A European Perspective on Informed Choice32222Medical Savings Accounts and Health Care Financing in South Africa33023European Health Care: The Cost of Solidarity and the Promise of Risk-Adjusted Consumer-Driven Health Care33824Consumer-Driven Health Care: An International View36225Challenges of Consumer-Driven Health Care36826Making the Transition to Consumer-Driven Health Care37127The New Consumer-Driven Health Care System37328The Patient's Right to Decide37629Comments on Consumer-Driven Health Care38030The Evolution of Consumer-Driven Health Care38431Will Consumer-Driven Health Care Work for Employers?39132The Perspective of an Advocate for the Elderly394Part 3The New Intermediaries39933Where Will Consumer-Driven Health Care Take the Health Care System?40334The Role of Information: J. D. Power's Paradigm Lessons from the Automotive Industry41035Providing Information to Consumers41936Consumer-Driven Health Care and the Internet42837The Present and Future Roles of Information in a Consumer-Driven Health System44038Who Has Star Quality?44339Grounding Consumer-Driven Health Care in Social Science Research45440Providing the Most-Wanted Information When Most Needed: Best Doctors45841The Half-Billion Dollar Impact of Information About Quality46742Buyers Health Care Action Group: Consumer Perceptions of Quality Differences47543Helping Consumers Choose Among Complex Insurance Plans48744CareCounsel: Consumer-Driven Health Care Advocacy49045Access Health Group: A Medical Management Perspective50146Consumer's Medical Resource: Helping Consumers Evaluate Medical Treatment Options51047The Cost Effectiveness of Consumer-Driven Lifestyle Changes in the Treatment of Cardiac Disease51648Healthtrac: Proven Reduction of the Need and Demand for Medical Services52349The Healthwise Approach: Reinventing the Patient532Part 4Innovative Consumer-Driven Solutions to Chronic Problems54350The Role of Providers54951A Disease Management Approach to Chronic Illness56152Consumer-Driven Health Care: Management Matters57053Consumer-Driven Health Care for the Chronically Ill58954A Cost-Effective Model for High-Quality Catastrophic Care59555Collaborating with Consumers to Advance Health Knowledge and Improve Practice60256Package Pricing at the Texas Heart Institute61257Helping Patients Manage Their Asthma: The National Jewish Approach61958A Model of Focused Health Care Delivery: Shouldice Hospital62759Chronic Problems, Innovative Solutions: Paving the Way to the Focused Factory63560Improving Health and Reducing the Costs of Chronic Disease64361The Impact of Horizontal Integration in Hospitals: HCA Healthcare Corporation65162An Innovative Approach to Population Health: Kaiser Permanente Southern California66163The Right Care: Vanderbilt Medical Center66964Achieving Focus in Hospital Care: The Role of Relational Coordination68365Consumer-Driven Health Care Is a Message of Hope69666An Academic Health Center Perspective69967Consumer Choice in Consumer-Driven Health Care70368Individual Genetic Profiles: The Empowerment of the Health Care Consumer70769Delivering the Right Drug to the Right Patient716Part 5The Role of Government72770The Uninsured: Understanding and Resolving an American Dilemma73171A Health Insurance Tax Credit: The Key to More Coverage and Choice for Consumers74972The Politics of Consumer-Driven Health Care76473Health Care: What Role for Regulation?77474Adult Health Insurance77975AmeriChoice Corporation: The Personal Care Model78176The Uninsured and Access78977Consumer-Driven Health Care for the Uninsured79478A Health Care SEC: The Truth, The Whole Truth, and Nothing But the Truth79779Keep 'Em Honest: The Health Care SEC81180The U.S. Needs a Consumer-Driven Medical Care System81681Government's New Roles in the Era of Consumer-Driven Health Care820The Editor829The Participants831The Contributors833Name Index841Subject Index857
