Reform incentives to create a demand for health system reengineering.
America needs a far more efficient health care financing and delivery system than the one we have. Our present system is a serious threat to public finances and is pricing itself out of reach. At the root of the problem are incentives and organization. The present fragmented fee-for-service small practice model is filled with cost-increasing incentives. There are some relatively efficient organized delivery systems, mostly based on large multi-specialty group practices. Unfortunately, most consumers are not offered the opportunity to save money and get better care by choosing such a system. This situation presents great opportunities for improvement in performance by re-engineering the system. However, for this to happen, incentives must be fundamentally changed so that everyone is cost conscious and care is organized in accountable care systems seeking improvement.
Enthoven
Alain
A
Graduate School of Business, Stanford University, USA. enthoven@stanford.edu
D018166:Health Care Reform / Q000458:organization & administration*; D012052:Reimbursement, Incentive; D014481:United States