title: Exercising purchasing power for preventive care.
abstract: Public and private purchasers can shift the focus of the health care system from managing the delivery of medical services to improving health. We report on the efforts of the Pacific Business Group on Health to include health promotion and disease prevention in its definition of health care value, to pay health plans based on their performance in providing appropriate preventive care, and to encourage employers and workers to choose health plans that excel in promoting health. This example serves as a model for other purchasing groups by combining economic incentives and systems of accountability to achieve public health goals.
authors.affiliation: School of Public Health, University of California, Berkeley, USA.
authors.forename: H H
authors.initials: HH
authors.lastname: Schauffler
authors.forename: T
authors.initials: T
authors.lastname: Rodriguez
mesh_terms: D002140:California; D003363:Cost Control / Q000639:trends; D005544:Forecasting; D017754:Group Purchasing; D015438:Health Behavior; D006264:Health Benefit Plans, Employee / Q000191:economics; D006265:Health Care Coalitions / Q000458:organization & administration*; D006293:Health Promotion / Q000191:economics*; D006801:Humans; D018854:Managed Competition / Q000191:economics*; D011314:Preventive Health Services / Q000191:economics*; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects; D000074606:Smoking Prevention