You are not signed in. Sign in.

List Books: Buy books on ListBooks.org

Consumer-Driven Health Care: Implications for Providers, Payers, and Policy-Makers » (1st Edition)

Book cover image of Consumer-Driven Health Care: Implications for Providers, Payers, and Policy-Makers by Regina E. Herzlinger

Authors: Regina E. Herzlinger
ISBN-13: 9780787952587, ISBN-10: 0787952583
Format: Hardcover
Publisher: Wiley, John & Sons, Incorporated
Date Published: April 2004
Edition: 1st Edition

Find Best Prices for This Book »

Author Biography: Regina E. Herzlinger

Regina E. Herzlinger is the Nancy R. McPherson Professor of Business Administration at the Harvard Business School.

Book Synopsis

Increased consumer control of health care is shaking up the medical and insurance systems. In Consumer-Driven Health Care, Harvard Business School’s acclaimed professor Regina E. Herzlinger states that hospitals, doctors, benefits administrators, accountants, government policymakers, and insurers had better adapt or else they will be replaced.

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.

"Professor Herzlinger provides a compelling argument for consumer-driven health care. The health care system has been marked for decades with rising costs and consumer dissatisfaction. Professor Herzlinger challenges the reader to look beyond solutions that are based on what consumers should want to solutions that give consumers what they want."

–Barbara Bigelow, Ph.D., Co-Editor, Health Care Management Review, Professor of Management, Clark University Graduate School of Management

"Regina Herzlinger has a formidable reputation as an expert on reforming health care. There are lessons here for all of us who care about reforming our health systems to make them better."

–David Willets, MP, Shadow Work and Pensions Secretary and Member of Parliament , UK

"This book is a must-read for anyone who wants to know why the American model of health insurance benefits that has been around for about 50 years is all washed up, and what is most likely to replace it."

–Roger Feldman, Blue Cross Professor of Health Insurance, University of Minnesota

"Professor Herzlinger can persuade corporate CEOs, Washington policymakers, benefits administrators, and hospital executives to reshape their strategy based on a market run by consumers. This book translates health economics into simple English, reducing the "mystery-inside-a-conundrum" field into everyday transactions like selecting a health plan that any health care consumer can recognize. Consumer-Driven Health Care will be a top candidate for health care’s 'book of the year.' "

–Russell C. Coile, Jr., consultant, editor, Russ Coile’s Health Trends, and author, Competing On Excellence (2003)

Table of Contents

Prefacexvii
Introductionxix
Part 1Why We Need Consumer-Driven Health Care1
1Fear and Loathing of Defined Benefit Health Insurance3
2The Frayed Safety Net28
3The Solution57
4Consumer-Driven Health Insurance: What Works74
5Health Care Productivity102
6The Silent Revolution127
7Scare Stories, Opponents, and the Role of Government153
8How to Make Consumer-Driven Health Care Happen195
Part 2Vision and Models199
9The Future of Twenty-First Century Health203
10How Employers Can Make Consumer-Driven Health Care a Reality213
11Designing Health Insurance for the Information Age224
12Risk Adjustment: An Overview and Three Case Studies242
13Consumer-Driven Health Care: Dialogues with Socrates262
14Employee Tax Payments and Consumer-Driven Health Care270
15The Implications of Tax Rulings on "Savings Accounts"279
16You Just Can't Pay Tom, Juan, and Ashley the Old Way Anymore284
17The Federal Employees Health Benefits Program291
18Health-Based Premium Payments and Consumer Assessment Information298
19The Buyers Health Care Action Group: Creating Incentives to Seek the Sick309
20An Insurance CEO's Perspective on Consumer-Driven Health Care317
21An Alternative to Managed Care: A European Perspective on Informed Choice322
22Medical Savings Accounts and Health Care Financing in South Africa330
23European Health Care: The Cost of Solidarity and the Promise of Risk-Adjusted Consumer-Driven Health Care338
24Consumer-Driven Health Care: An International View362
25Challenges of Consumer-Driven Health Care368
26Making the Transition to Consumer-Driven Health Care371
27The New Consumer-Driven Health Care System373
28The Patient's Right to Decide376
29Comments on Consumer-Driven Health Care380
30The Evolution of Consumer-Driven Health Care384
31Will Consumer-Driven Health Care Work for Employers?391
32The Perspective of an Advocate for the Elderly394
Part 3The New Intermediaries399
33Where Will Consumer-Driven Health Care Take the Health Care System?403
34The Role of Information: J. D. Power's Paradigm Lessons from the Automotive Industry410
35Providing Information to Consumers419
36Consumer-Driven Health Care and the Internet428
37The Present and Future Roles of Information in a Consumer-Driven Health System440
38Who Has Star Quality?443
39Grounding Consumer-Driven Health Care in Social Science Research454
40Providing the Most-Wanted Information When Most Needed: Best Doctors458
41The Half-Billion Dollar Impact of Information About Quality467
42Buyers Health Care Action Group: Consumer Perceptions of Quality Differences475
43Helping Consumers Choose Among Complex Insurance Plans487
44CareCounsel: Consumer-Driven Health Care Advocacy490
45Access Health Group: A Medical Management Perspective501
46Consumer's Medical Resource: Helping Consumers Evaluate Medical Treatment Options510
47The Cost Effectiveness of Consumer-Driven Lifestyle Changes in the Treatment of Cardiac Disease516
48Healthtrac: Proven Reduction of the Need and Demand for Medical Services523
49The Healthwise Approach: Reinventing the Patient532
Part 4Innovative Consumer-Driven Solutions to Chronic Problems543
50The Role of Providers549
51A Disease Management Approach to Chronic Illness561
52Consumer-Driven Health Care: Management Matters570
53Consumer-Driven Health Care for the Chronically Ill589
54A Cost-Effective Model for High-Quality Catastrophic Care595
55Collaborating with Consumers to Advance Health Knowledge and Improve Practice602
56Package Pricing at the Texas Heart Institute612
57Helping Patients Manage Their Asthma: The National Jewish Approach619
58A Model of Focused Health Care Delivery: Shouldice Hospital627
59Chronic Problems, Innovative Solutions: Paving the Way to the Focused Factory635
60Improving Health and Reducing the Costs of Chronic Disease643
61The Impact of Horizontal Integration in Hospitals: HCA Healthcare Corporation651
62An Innovative Approach to Population Health: Kaiser Permanente Southern California661
63The Right Care: Vanderbilt Medical Center669
64Achieving Focus in Hospital Care: The Role of Relational Coordination683
65Consumer-Driven Health Care Is a Message of Hope696
66An Academic Health Center Perspective699
67Consumer Choice in Consumer-Driven Health Care703
68Individual Genetic Profiles: The Empowerment of the Health Care Consumer707
69Delivering the Right Drug to the Right Patient716
Part 5The Role of Government727
70The Uninsured: Understanding and Resolving an American Dilemma731
71A Health Insurance Tax Credit: The Key to More Coverage and Choice for Consumers749
72The Politics of Consumer-Driven Health Care764
73Health Care: What Role for Regulation?774
74Adult Health Insurance779
75AmeriChoice Corporation: The Personal Care Model781
76The Uninsured and Access789
77Consumer-Driven Health Care for the Uninsured794
78A Health Care SEC: The Truth, The Whole Truth, and Nothing But the Truth797
79Keep 'Em Honest: The Health Care SEC811
80The U.S. Needs a Consumer-Driven Medical Care System816
81Government's New Roles in the Era of Consumer-Driven Health Care820
The Editor829
The Participants831
The Contributors833
Name Index841
Subject Index857

Subjects