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Consumer-Driven Health Care: Implications for Providers, Payers, and Policy-Makers / Edition 1

Consumer-Driven Health Care: Implications for Providers, Payers, and Policy-Makers / Edition 1

5.0 1
by Regina E. Herzlinger

ISBN-10: 0787952583

ISBN-13: 9780787952587

Pub. Date: 04/28/2004

Publisher: Wiley

Professor Herzlinger documents how the consumer-driven health care movement is being implemented and its impact on insurers, providers, new intermediaries, and governments. With additional contributions by health care’s leading strategists, innovators, regulators and scholars, Consumer-Driven Health Care presents a compelling vision of a health care


Professor Herzlinger documents how the consumer-driven health care movement is being implemented and its impact on insurers, providers, new intermediaries, and governments. With additional contributions by health care’s leading strategists, innovators, regulators and scholars, Consumer-Driven Health Care presents a compelling vision of a health care system built to satisfy the people it serves.

This comprehensive resource includes the most important thinking on the topic and compelling case studies of consumer-driven health care (CDHC) in action, here and abroad, including new consumer-driven intermediaries for information and support; types of insurance plans; focused factories for delivering health care; personalized drugs and devices; and government roles.

Product Details

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7.25(w) x 9.55(h) x 1.82(d)

Table of Contents




1. Fear and Loathing of Defined Benefit Health Insurance.

2. The Frayed Safety Net.

3. The Solution.

4. Consumer-Driven Health Insurance: What Works.

5. Health Care Productivity.

6. The Silent Revolution.

7. Scare Stories, Opponents, and the Role of Government.

8. How to Make Consumer-Driven Health Care Happen.


9. The Future of Twenty-First Century Health (William W. George).

10. How Employers Can Make Consumer-Driven Health Care a Reality (Brian J. Marcotte).

11. Designing Health Insurance for the Information Age (John C. Goodman).

12. Risk Adjustment: An Overview and Three Case Studies (Lisa I. Iezzoni).

13. Consumer-Driven Health Care: Dialogues with Socrates (Stephen S. Hyde).

14. Employee Tax Payments and Consumer-Driven Health Care (Jeanne A. Brown).

15. The Implications of Tax Rulings on “Savings Accounts” (Charles H. Klippel).

16. You Just Can’t Pay Tom, Juan, and Ashley the Old Way Anymore (Bonnie B. Whyte).

17. The Federal Employees Health Benefits Program (James W. Morrison Jr.).

18. Health-Based Premium Payments and Consumer Assessment Information (Vicki M. Wilson, Jenny M. Hamilton, Mary K. Uyeda, Cynthia A. Smith, with Graydon M. Clouse).

19. The Buyers Health Care Action Group: Creating Incentives to Seek the Sick (Ann L. Robinow).

20. An Insurance CEO’s Perspective on Consumer-Driven Health Care (Leonard D. Schaeffer).

21. An Alternative to Managed Care: A European Perspective on Informed Choice (Bruno L. Holthof).

22. Medical Savings Accounts and Health Care Financing in South Africa (Shaun Matisonn).

23. European Health Care: The Cost of Solidarity and the Promise of Risk-Adjusted Consumer-Driven Health Care (Paul Belien).

24. Consumer-Driven Health Care: An International View (Alvaro Salas-Chaves).

25. Challenges of Consumer-Driven Health Care (Eugene D. Hill III).

26. Making the Transition to Consumer-Driven Health Care (Jesse S. Hixson).

27. The New Consumer-Driven Health Care System (Daniel H. Johnson).

28. The Patient’s Right to Decide (Warner V. Slack).

29. Comments on Consumer-Driven Health Care (Corbette S. Doyle).

30. The Evolution of Consumer-Driven Health Care (Robert W. Coburn).

31. Will Consumer-Driven Health Care Work for Employers? (John C. Erb).

32. The Perspective of an Advocate for the Elderly (John Rother).


33. Where Will Consumer-Driven Health Care Take the Health Care System? (Bernard T. Ferrari).

34. The Role of Information: J. D. Power’s Paradigm Lessons from the Automotive Industry (J. D. Power III).

35. Providing Information to Consumers (David Lansky).

36. Consumer-Driven Health Care and the Internet (Mark A. Pearl).

37. The Present and Future Roles of Information in a Consumer-Driven Health System (Russell Ricci).

38. Who Has Star Quality? (Jon A. Chilingerian).

39. Grounding Consumer-Driven Health Care in Social Science Research (Arnold Milstein, Nancy E. Adler).

40. Providing the Most-Wanted Information When Most Needed: Best Doctors (Steven W. Naifeh, Gregory White Smith).

41. The Half-Billion Dollar Impact of Information About Quality (Becky J. Cherney).

42. Buyers Health Care Action Group: Consumer Perceptions of Quality Differences (Katherine M. Harris, Roger Feldman, Jennifer S. Schultz, Jon Christianson).

43. Helping Consumers Choose Among Complex Insurance Plans (Colleen M. Murphy).

44. CareCounsel: Consumer-Driven Health Care Advocacy (Lawrence N. Gelb).

45. Access Health Group: A Medical Management Perspective (Joseph P. Tallman).

46. Consumer’s Medical Resource: Helping Consumers Evaluate Medical Treatment Options (David J. Hines).

47. The Cost Effectiveness of Consumer-Driven Lifestyle Changes in the Treatment of Cardiac Disease (Dean Ornish).

48. Healthtrac: Proven Reduction of the Need and Demand for Medical Services (James F. Fries).

49. The Healthwise® Approach: Reinventing the Patient (Donald W. Kemper, Molly Mettler).


50. The Role of Providers (Michael L. Millenson).

51. A Disease Management Approach to Chronic Illness (Jessie C. Gruman, Cynthia M. Gibson).

52. Consumer-Driven Health Care: Management Matters (Richard M. J. Bohmer, Amy C. Edmondson, Gary P. Pisano).

53. Consumer-Driven Health Care for the Chronically Ill (Al Lewis).

54. A Cost-Effective Model for High-Quality Catastrophic Care (Bernard Salick, Seth M. Yellin).

55 Collaborating with Consumers to Advance Health Knowledge and Improve Practice (S. Robert Levine, Laura L. Adams).

56. Package Pricing at the Texas Heart Institute (Denton A. Cooley, John W. Adams Jr.).

57. Helping Patients Manage Their Asthma: The National Jewish Approach (Lynn M. Taussig, David Tinkelman).

58. A Model of Focused Health Care Delivery: Shouldice Hospital (Daryl J. B. Urquhart, Alan O’Dell).

59. Chronic Problems, Innovative Solutions: Paving the Way to the Focused Factory (Stuart Lovett).

60. Improving Health and Reducing the Costs of Chronic Diseases (Robert E. Stone).

61. The Impact of Horizontal Integration in Hospitals: HCA Healthcare Corporation (Thomas F. Frist Jr.).

62. An Innovative Approach to Population Health: Kaiser Permanente Southern California (Les Zendle).

63. The Right Care: Vanderbilt Medical Center (Harry R. Jacobson).

64. Achieving Focus in Hospital Care: The Role of Relational Coordination (Jody Hoffer Gittell).

65. Consumer-Driven Health Care Is a Message of Hope (James F. Rodgers).

66. An Academic Health Center Perspective (Roger J. Bulger).

67. Consumer Choice in Consumer-Driven Health Care (François Maisonrouge).

68. Individual Genetic Profiles: The Empowerment of the Health Care Consumer (Tony L. White).

69. Delivering the Right Drug to the Right Patient (Mark Levin).


70. The Uninsured: Understanding and Resolving an American Dilemma (Jon R. Gabel).

71. A Health Insurance Tax Credit: The Key to More Coverage and Choice for Consumers (David B. Kendall).

72. The Politics of Consumer-Driven Health Care (Eric S. Berger, Carrie Gavora, Daniel H. Johnson).

73. Health Care: What Role for Regulation? (Karen Ignagni).

74. Adult Health Insurance (Ken Abramowitz).

75. AmeriChoice Corporation: The Personal Care Model (Anthony Welters).

76. The Uninsured and Access (Constance G. Jackson).

77. Consumer-Driven Health Care for the Uninsured (Kevin Vigilante).

78. A Health Care SEC: The Truth, The Whole Truth, and Nothing But the Truth (Regina E. Herzlinger).

79. Keep ’Em Honest: The Health Care SEC (Robert N. Shamansky).

80. The U.S. Needs a Consumer-Driven Medical Care System (Rita Ricardo-Campbell).

81. Government’s New Roles in the Era of Consumer-Driven Health Care (Richard A. D’Amaro).

The Editor.

The Participants.

The Contributors.

Name Index.

Subject Index.

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Consumer-Driven Health Care: Implications for Providers, Payers, and Policy-Makers 5 out of 5 based on 0 ratings. 1 reviews.
Guest More than 1 year ago
In Consumer-Driven Health Care, Regina E. Herzlinger, a leading health care thought leader and a professor at the Harvard Business School, provides a thought-provoking look inside a new, powerful force slowly transforming America's dysfunctional health care industry. Consumer-Driven Health Care builds on her popular 1997 book Market-Driven Health Care: Who Wins, Who Loses in the Transformation of America's Largest Service Industry. In the first part of her new 900-page book, Dr. Herzlinger makes a convincing case about how and why health care is broken and why market-based solutions - which empower consumers - are best. She restates the case she made in Market-Driven Health Care for putting consumers directly in charge of their own decisions (picking insurance plans, making medical decisions). Through transparency of information, a realignment of incentives, and new tools to support decision-making by patients, the consumer-driven model gives individuals a clear stake in their own health care. While not unique to other parts of the US economy, the approach is a radical departure for the $1.7 trillion health care market. As Dr. Herzlinger makes clear in her energetic analysis, the absence of these proven market-based tools goes a long to explain why health care became our most inefficient, outdated, and error-prone industry. The second part - about 80 percent of the book - is a collection of 73 think pieces written by 92 other experts. With short introductions by Dr. Herzlinger, these articles serve as a useful initial knowledge base for a growing field with an uncertain future. The book has its limitations. For example, Dr. Herzlinger's case for the consumer-driven model fails to address the Medicare and Medicaid systems. It also leaves a variety of practical transition and execution issues unaddressed, although these are beyond the purpose of this volume. Because articles were written several years ago as part of a conference and most of the writers lack purchaser-side experience, the book also does not deal with the growing list of market-based reforms underway by large employers and innovative health plans. In addition, since the field is still in its infancy, Dr. Herzlinger is a business researcher, and the contributors are largely wide-eyed entrepreneurs, the book will likely frustrate health policy wonks and others stuck in the technical minutia and ideological fights that characterize most health care discussions. But then, that's just as well. Too often analysts forget that health care is a business and operates as a market, albeit a flawed one insulated from tools proven to drive quality and efficiency. And we need all the wide-eyed, out-of-the-box thinking we can get. Dr. Herzlinger also has her detractors. It reminds me of the old joke that there are two kinds of people in the world: people who like Wayne Newton and people who don't. Well, it seems that health care wonkdom is divided by those who like Reggie Herzlinger's ideas and those who don't. However, given the massive problems in American health care, her plain-spoken, business-savvy contributions remain as useful as they are provocative.