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THE U.S. HEALTH CARE SYSTEM IS IN crisis. At stake are the quality of care for millions of Americans and the financial well-being of individuals and employers squeezed by sky-rocketing premiums-not to mention the stability of state and federal government budgets. In Redefining Health Care, internationally renowned strategy expert Michael Porter and innovation expert Elizabeth Teisberg reveal the underlying-and largely overlooked-causes of the problem, and provide a powerful prescription for change. The authors argue that participants in the health care system have competed to shift costs, accumulate bargaining power, and restrict services, rather than create value for patients. This zero-sum competition takes place at the wrong level-among health plans, networks, and hospitals-rather than where it matters most, in the diagnosis, treatment, and prevention of specific health conditions. Redefining Health Care lays out a breakthrough framework for redefining health care competition based on patient value. With specific recommendations for hospitals, doctors, health plans, employers, and policy makers, this book shows how to move to a positive-sum competition that will unleash stunning improvements in quality and efficiency. The U.S. healthcare system is in crisis. In Redefining Healthcare, internationally renowned strategy expert Michael Porter and innovation expert Elizabeth Teisberg reveal the underlying-and largely overlooked-causes of the problem, and provide a powerful prescription for change.
|1||Scoping the problem||17|
|2||Identifying the root causes||33|
|3||How reform went wrong||71|
|4||Principles of value-based competition||97|
|5||Strategic implications for health care providers||149|
|6||Strategic implications for health plans||229|
|7||Implications for suppliers, consumers, and employers||283|
|8||Health care policy and value-based competition : implications for government||323|
|App. A||Making results public : the Cleveland Clinic|
|App. B||The care delivery value chain|
Posted March 9, 2012
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