Total Cure: The Antidote to the Health Care Crisis

Total Cure: The Antidote to the Health Care Crisis

by Harold S. Luft
     
 

ISBN-10: 0674032101

ISBN-13: 9780674032101

Pub. Date: 10/15/2008

Publisher: Harvard University Press

Proposals to reform the health care system typically focus on either increasing private insurance or expanding government-sponsored plans. Guaranteeing that everyone is insured, however, does not create a system with the quality of care patients want, the flexibility clinicians need, and the internal dynamics to continually improve the value of health care.

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Overview

Proposals to reform the health care system typically focus on either increasing private insurance or expanding government-sponsored plans. Guaranteeing that everyone is insured, however, does not create a system with the quality of care patients want, the flexibility clinicians need, and the internal dynamics to continually improve the value of health care.

In Total Cure, Hal Luft presents a comprehensive new proposal, SecureChoice, which does all that while providing affordable health insurance for every American. SecureChoice is a plan that restructures payment for medical care, harnessing the flexibility and responsiveness of the market by aligning the incentives of clinicians, hospitals, and insurers with those of the patient. It uses the accountability of government to ensure transparency, competition, and equity.

SecureChoice has two major components. A universal pool covers the major risks of hospitalization and chronic illness, which account for almost two-thirds of all costs. Everyone would be in the pool, irrespective of employment, income, or health status. The second component emphasizes choice, flexibility, and responsibility. People will be able to choose any physician to serve as their “medical home,” to keep track of their health records, provide much of their care, and suggest referrals. Clinicians will have the information and incentives to continually enhance quality. SecureChoice also facilitates improvements in areas ranging from malpractice to pharmaceuticals and establishes new roles for key stakeholders such as health insurers.

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Product Details

ISBN-13:
9780674032101
Publisher:
Harvard University Press
Publication date:
10/15/2008
Pages:
336
Product dimensions:
8.50(w) x 5.66(h) x 1.08(d)

Table of Contents

List of Tables and Figures

Introduction 1

1 Build on What You've Got, but Recognize Real-World Constraints 13

2 Overview of a Restructured Health Care System 32

3 Covering the Cost of Care: Rethinking Health Insurance 59

4 Organizing Care and Paying Providers 89

5 Choices: Harnessing Data to Inform Decisions 117

6 Financing SecureChoice 151

7 Malpractice, Pharmaceuticals, Medical Education, and Prevention 178

8 How SecureChoice Would Work for Patients and Physicians 202

9 Getting There: Policy Choices, Implementation, and Transition 221

Notes 251

Glossary 299

Index 309

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