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Toward a 21st-century health care system: Recommendations for health care reform

Authors :
Arrow, K. (Kenneth)
Auerbach, A. (Alan)
Bertko, J. (John)
Casalino, L.P. (Lawrence Peter)
Crosson, F.J. (Francis)
Enthoven, A. (Alain)
Falcone, E.
Feldman, R.C.
Fuchs, V.R. (Victor)
Garber, A.M. (Alan)
Gold, M.R. (Marthe Rachel)
Goldman, D.A.
Hadfield, G.K. (Gillian)
Hall, M.A. (Mark Ann)
Horwitz, R.I. (Ralph)
Hooven, M.
Jacobson, P.D. (Peter)
Jost, T.S. (Timothy Stoltzfus)
Kotlikoff, L.J.
Levin, J. (Jonathan)
Levine, S. (Sharon)
Levy, R.
Linscott, K.
Luft, H.S.
Mashal, R.
McFadden, D. (Daniel)
Mechanic, D. (David)
Meltzer, D. (David)
Newhouse, J.P. (Joseph)
Noll, R.G. (Roger)
Pietzsch, J.B. (Jan Benjamin)
Pizzo, P. (Philip)
Reischauer, R.D. (Robert)
Rosenbaum, S. (Sara)
Sage, W. (William)
Schaeffer, L.D. (Leonard Daniel)
Sheen, E.
Silber, B.N. (Bernie Michael)
Skinner, J. (Jonathan Robert)
Shortell, S.M. (Stephen)
Thier, S.O. (Samuel)
Tunis, S. (Sean)
Wulsin Jr., L.
Yock, P. (Paul)
Nun, G.B.
Bryan, S. (Stirling)
Luxenburg, O. (Osnat)
Ven, W.P.M.M. (Wynand) van de
Cooper, J. (Jim)
Arrow, K. (Kenneth)
Auerbach, A. (Alan)
Bertko, J. (John)
Casalino, L.P. (Lawrence Peter)
Crosson, F.J. (Francis)
Enthoven, A. (Alain)
Falcone, E.
Feldman, R.C.
Fuchs, V.R. (Victor)
Garber, A.M. (Alan)
Gold, M.R. (Marthe Rachel)
Goldman, D.A.
Hadfield, G.K. (Gillian)
Hall, M.A. (Mark Ann)
Horwitz, R.I. (Ralph)
Hooven, M.
Jacobson, P.D. (Peter)
Jost, T.S. (Timothy Stoltzfus)
Kotlikoff, L.J.
Levin, J. (Jonathan)
Levine, S. (Sharon)
Levy, R.
Linscott, K.
Luft, H.S.
Mashal, R.
McFadden, D. (Daniel)
Mechanic, D. (David)
Meltzer, D. (David)
Newhouse, J.P. (Joseph)
Noll, R.G. (Roger)
Pietzsch, J.B. (Jan Benjamin)
Pizzo, P. (Philip)
Reischauer, R.D. (Robert)
Rosenbaum, S. (Sara)
Sage, W. (William)
Schaeffer, L.D. (Leonard Daniel)
Sheen, E.
Silber, B.N. (Bernie Michael)
Skinner, J. (Jonathan Robert)
Shortell, S.M. (Stephen)
Thier, S.O. (Samuel)
Tunis, S. (Sean)
Wulsin Jr., L.
Yock, P. (Paul)
Nun, G.B.
Bryan, S. (Stirling)
Luxenburg, O. (Osnat)
Ven, W.P.M.M. (Wynand) van de
Cooper, J. (Jim)
Publication Year :
2009

Abstract

The coverage, cost, and quality problems of the U.S. health care system are evident. Sustainable health care reform must go beyond financing expanded access to care to substantially changing the organization and delivery of care. The FRESH-Thinking Project (www.fresh-thinking.org) held a series of workshops during which physicians, health policy experts, health insurance executives, business leaders, hospital administrators, economists, and others who represent diverse perspectives came together. This group agreed that the following 8 recommendations are fundamental to successful reform: 1. Replace the current fee-for-service payment system with a payment system that encourages and rewards innovation in the efficient delivery of quality care. The new payment system should invest in the development of outcome measures to guide payment. 2. Establish a securely funded, independent agency to sponsor and evaluate research on the comparative effectiveness of drugs, devices, and other medical interventions. 3. Simplify and rationalize federal and state laws and regulations to facilitate organizational innovation, support care coordination, and streamline financial and administrative functions. 4. Develop a health information technology infrastructure with national standards of interoperability to promote data exchange. 5. Create a national health database with the participation of all payers, delivery systems, and others who own health care data. Agree on methods to make de-identified information from this database on clinical interventions, patient outcomes, and costs available to researchers. 6. Identify revenue sources, including a cap on the tax exclusion of employer-based health insurance, to subsidize health care coverage with the goal of insuring all Americans. 7. Create state or regional insurance exchanges to pool risk, so that Americans without access to employer-based or other group insurance could obtain a standard benefits package through these exchanges. Empl

Details

Database :
OAIster
Notes :
application/pdf, Annals of Internal Medicine vol. 150 no. 7, pp. 493-495, English
Publication Type :
Electronic Resource
Accession number :
edsoai.ocn929983208
Document Type :
Electronic Resource