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Consumer Driven Health Care

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This comprehensive resource includes the most important thinkingon the topic and compelling case studies of consumer-driven healthcare CDHC in action, here and abroad, including newconsumer-driven intermediaries for information and support; typesof insurance plans; focused factories for delivering health care;personalized about consumer driven health plans and devices; and government roles.

Sponsored Products are advertisements for products sold by merchants on Amazon. When you click on a Sponsored Product ad, you will be taken to about consumer driven health plans Amazon detail page where you can learn more about the product and purchase it. To learn more about Amazon Sponsored Products, click here. Herzlinger, a prominent professor at the Harvard Business School, has been a leading voice among advocates of a price-sensitive, consumer-driven market as the solution to the problems of our health care system.

In she published a book entitled Market-Driven Health Care: Addison-Wesleywhich laid out the arguments for her position. Then, inas she explains in the introduction to her current book, "I felt that consumer-driven health care was so imminent that I hosted a large conference at the Harvard Business School to discuss the subject.

Why publish all this now, some five years after the conference, and yet barely seven years after her first book on the same subject? Because, she says, "I waited to publish this book until the time for the consumer-driven health care revolution zoloft muscle aches occur was right. The time is now. She and the majority of her 92 contributors mostly health care entrepreneurs the best story lesson plans activities managers, including 23 with medical degrees are convinced that a new age is dawning.

As a consequence, this book projects an almost messianic fervor; it brims with the confidence and enthusiasm of converts to a great cause. Despite all the excitement, however, it adds little that is really new and persuasive. The large collection of conference contributions, far too numerous to describe here, would have been less daunting had it been pruned to a more manageable number.

Some of the presentations are thoughtful and balanced commentaries on the about consumer driven health plans medical marketplace, about consumer driven health plans, but others are little more than self-promoting anecdotes about new business enterprises intended to appeal to consumers. Like that previous effort, this contribution is primarily concerned with first 90 days management plan employment-based insurance system and says little about the half of our health care economy that is insured through government programs.

She begins with a convincing description of the failures of the current private system. The solution, she says, is to put the power of choosing insurance coverage and health care in the hands of consumers, who have a personal and economic stake in their own decisions. Employees should be given money by their employers, in amounts determined by their health risk, and they should be allowed to shop for themselves in a greatly expanded and diversified insurance market.

However, in this scenario, everyone would be required to buy coverage for catastrophic illness. New kinds of entrepreneurs would "risk-adjust" the insurance payments and provide enrollees with the information and cost estimates that they would need to make their choices. Money not spent on insurance could be used by employees for other health expenditures -- or perhaps become part of a medical savings account. How often would such assessments be done, and at what cost?

And what about Medicare and Medicaid? Should the government abandon these programs in favor of contributions also based on health status for the purchase of private insurance? Herzlinger acknowledges the need for government regulation in making her proposed "consumer-driven" system work, but she never fully addresses the huge administrative costs and bureaucracy that her system would probably entail, about consumer driven health plans.

Large overhead costs plague our present insurance system, and they might well be even greater under the system she proposes here. The most important reform in the delivery of care envisioned by Herzlinger is what she calls "focused factories. They would compete for customers on the basis of price and quality and supposedly would lower costs while improving efficiency and quality.

Herzlinger wants specialty hospitals to replace services provided by general hospitals, and groups of specialist physicians who are focused on the comprehensive care of one disease to replace the services provided by solo practitioners. Does she think "focused factories" should largely replace the current organization of medical care? She does not say, but if so, about consumer driven health plans, she needs to be cautioned that multiple serious diseases in the same patient are common and that we still would need physicians to manage the vast array of minor complaints and to diagnose those that are serious.

Herzlinger is convinced that market forces, given properly informed and motivated consumers, will bring runaway costs under control, even while improving the quality of care. That is a nice theory, about consumer driven health plans, but medical care is fundamentally different from the kinds of service industries that business experts know about, and the alleged magic of the market has yet to be demonstrated in medicine.

Anyone who has ever been very ill or seriously injured learns that at these critical times, people must rely on their physicians to choose and provide the most appropriate care. Prices are a secondary consideration when health or life is at stake. The health care system has been markedfor decades with rising costs and consumer dissatisfaction. Professor Herzlinger challenges the reader to look beyond solutionsthat are based on what consumers should want to solutions that giveconsumers what they want.

There are lessons here for all of us whocare about reforming our health systems to make them better. Remarkably, for an academic,she can write. Would you like to tell us about a lower price? If you are a seller for this product, would you like to suggest updates through seller support? Learn more about Amazon Prime.

Professor Herzlinger documents how the consumer-driven health caremovement is being implemented and its impact on insurers,providers, new intermediaries, and governments. Read more Read less. Prime Book Box for Kids. Add all three to Cart Add about consumer driven health plans three to List. These items are shipped from and sold by different sellers.

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Write a customer review. There was a problem filtering reviews right now. Please try again later. Herzlinger points out that, about consumer driven health plans, unlike most other markets, health care is controlled by third-parties insurers. Further, the absence of information that can help consumers choose also hobbles their role. Most health care costs are incurred by people suffering from chronic diseases. Another problem is that insurers and providers sometimes are rewarded for acting in ways that increase work-time loss - eg.

Still another problem is that innovative providers that improve outcomes are likely to end up getting less reimbursement; instead, rewards go to mergers creating larger networks that can resist pressure for discounts. Voluntary compilation of outcomes data efforts have not worked - eg. Regardless, there is a significant problem with risk-adjustment - it is very sensitive to coding thoroughness and exaggeration.

All good points, and I especially agree with her emphasis on focused-factories and as much consumer-available information as possible. However, the bulk of "Consumer-Driven Health Care" is taken up with low-value brief writings from supporters attending a conference organized on the topic. Additionally, Herzlinger under-emphasizes the health care waste attributable to assessing enrollee health, individual underwriting, and patrolling enrollee selection of providers and their subsequent care.

A much simpler basis for revising our broken health care system exists - a national system such as in Canada, England, France, etc. One person found this helpful, about consumer driven health plans. In the first part of her new page book, Dr. Herzlinger makes a convincing case about how and why health care is broken and why market-based solutions - which empower consumers - are best.

She restates the case she made in Market-Driven Health Care for putting consumers directly in charge of their own decisions picking insurance plans, making medical decisions. Through transparency of information, a realignment of incentives, and new tools to support decision-making by patients, mcmillan accutane consumer-driven model gives individuals a clear stake in their own health care.

Herzlinger makes clear in her energetic analysis, the absence of these proven market-based tools goes a long to explain why health care became our most inefficient, outdated, and error-prone industry. The second part - about 80 percent of the book - is a collection of 73 think pieces written by 92 other experts.

With short introductions by Dr. Herzlinger, these articles serve as a useful initial knowledge base for a growing field with an uncertain future. The book has its limitations. It also leaves a variety of practical transition and execution issues unaddressed, although these are beyond the purpose of this volume. Because articles were written several years ago as part of a conference and most of the writers lack purchaser-side experience, the book also does not deal with the growing list of market-based reforms underway by large employers and innovative health plans.

In addition, since the field is still in its infancy, Dr. Herzlinger is about consumer driven health plans business researcher, ada compliance plan the contributors are largely wide-eyed entrepreneurs, the book will likely frustrate health policy wonks and others stuck in the technical minutia and ideological fights that characterize most health care discussions.

 

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