The fragmentation of U.S. health care: causes and solutions - download pdf or read online

By Einer Elhauge

ISBN-10: 019539013X

ISBN-13: 9780195390131

Why is our health and wellbeing care method so fragmented within the care it supplies sufferers? Why is there little coordination among the various medical professionals who deal with person sufferers, who frequently even lack entry to a typical set of clinical files? Why is fragmentation an issue even inside a unmarried health center, the place error or miscommunications usually appear to consequence from bad coordination among the myriad of execs treating anyone person sufferer? Why is well-being care fragmented either through the years, in order that too little is spent on preventive care, and throughout sufferers, in order that assets are usually misallocated to the sufferers who desire it least? The Fragmentation of U.S. overall healthiness Care: factors and strategies techniques those large questions with a hugely interdisciplinary strategy. The articles integrated within the paintings tackle criminal and regulatory concerns, together with legislation that mandate separate funds for every supplier, limit hospitals or others from controlling or worthwhile the set of prone treating a sufferer to guarantee coordinated care, and supply affirmative disincentives for coordinating care via paying extra for uncoordinated care that calls for extra providers. company purposes for the present kind of health facility association are thought of, and potency and layout are tested and in comparison to different industries. The economics of present health facility association also are taken into consideration. The authors study and suggest numerous reforms that make our wellbeing and fitness care approach much less fragmented, extra effective, and extra medically powerful.

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Extra info for The fragmentation of U.S. health care: causes and solutions

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7, 2005 at W5-420; A. Mark Clarfield, Howard Bergman & Robert Kane, Fragmentation of Care for Frail Older People—an International Problem, 49 J. Am. Geriatrics Society 1714 (2001); Stephen M. , Remaking Health Care in America: Building Organized Delivery Systems (1996). 6. See, generally Katherine Baicker & Amitabh Chandra, Medicare Spending, the Physician Workforce, and Beneficiaries’ Quality of Care, 23 Health Aff. 2004;23:w4184; Delivery Systems Matter! , Contribution of primary care to health systems and health.

Creating Accountable Care Organizations: the Extended Hospital Medical Staff, 26 Health Aff. w44-w57 (2007). 9. The Veterans Health Administration (“VA”) is one of the few exceptions. The VA exemplifies both the potential for improvement in quality that can result from delivering coordinated care—as well as the horrendous consequences that can result when a government program does a bad job, and program beneficiaries lack both exit and voice. Compare Phillip Longman, Best Care Anywhere: Why VA Health Care Is Better Than Yours (2007) with David A.

Journal of Economic Behavior and Organization, 71:2, pp. 550–62). Switzerland requires all residents to purchase health insurance in a marketplace that features a large number of competing insurers. s. S. 7 McGlynn et al. 9 The complications associated with these conditions accumulate over time, so early interventions can improve patient care and reduce medical costs. The short expected duration of insurance relationships undermines insurers’ incentives to invest in preventative care and disease management.

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