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Consumer-Driven Health Care Implications for Providers, Payers and Policy Makers (Jossey-Bass, April 2004)
Edited by Regina E. Herzlinger Manhattan Institute Senior Fellow
TABLE OF CONTENTS
Preface
Introduction: Consumer-Driven Health Care
Part One: Consumer-Driven Health Care
- Fear and Loathing of Defined Benefit Health Insurance
- The Frayed Safety Net
- The Solution
- Consumer-Driven Health Insurance: What Works
- Health Care Productivity
- The Silent Revolution
- Scare Stories, Opponents, and the Role of Government
- How to Make Consumer-Driven Health Care Happen
Part Two: Vision and Models
The Future of Twenty-First Century Health William George
How Employers Can Make Consumer-Driven Health Care A Reality Brian J. Marcotte
Designing Health Insurance for the Information Age John Goodman
Risk Adjustment: An Overview and Three Case Studies Lisa I. Iezzoni
Consumer-Driven Health Care: Dialogues with Socrates Stephen S. Hyde
EmployeeTax Payments and Consumer-Driven Health Care Jeanne Brown
The Implications of Tax Rulings on “Savings Accounts” Charles H. Klippel
You Just Can’t Pay Tom, Juan, and Ashley the Old Way Anymore Bonnie B.Whyte
The Federal Employees Health Benefits Program James W. Morrison, Jr.
Health-Based Premium Payments and Consumer Assessment Information Vicki M. Wilson, Jenny Hamilton, Mary K. Uyeda, Cynthia Smith, Grady Clouse
The Buyers Health Care Action Group: Creating Incentives to Seek the Sick Ann Robinow
An Insurance CEO’s Perspective on Consumer-Driven Health Care Leonard D. Schaeffer
An Alternative to Managed Care: A European Perspective on Informed Choice Bruno Holthof
Medical Savings Accounts and Health Care Finances in South Africa Shaun Matisonn
European Health Care: The Cost of Solidarity, the Promise of Risk-Adjusted Consumer-Driven Health Care Paul Belien
Consumer-Driven Health Care: An International View Alvaro Salas-Chaves
Challenges of Consumer-Driven Health Care Eugene Hill, III
Making the Transition to Consumer-Driven Health Care Jesse S. Hixson
The New Consumer-Driven Health Care System Daniel Johnson
The Patient’s Right to Decide Warner V. Slack
Comments on Consumer-Driven Health Care Corbette Doyle
The Evolution of Consumer-Driven Health Care Robert Coburn
Will Consumer-Driven Health Care Work for Employers? John C. Erb
The Perspective of an Advocate for the Elderly John Rother
Part Three: The New Intermediaries
Where Will Consumer-Driven Health Care Take the Health Care System? Bernard T. Ferrari
The Role of Information: J. D. Power’s Paradigm Lessons from the Automotive Industry J. D. Power, III
Providing Information to Consumers David Lansky
Consumer-Driven Health Care and the Internet Mark Pearl
The Present and Future Roles of Information in a Consumer-Driven Health System Russell Ricci
Who Has Star Quality? Jon A. Chilingerian
Grounding Consumer-Driven Health Care in Social Science Research Arnold Milstein, Nancy Adler
Providing the Most-Wanted Information When Most Needed: Best Doctors Steven W. Naifeh, Gregory White Smith
The Half-Billion Dollar Impact of Information About Quality Becky J. Cherney
The Buyers Health Care Action Group: Consumer Perceptions of Quality Differences Katherine Harris, Roger Feldman, Jennifer S. Schultz, Jon Christianson
Helping Consumers Choose Among Complex Insurance Plans Colleen Murphy
CareCounsel: Consumer-Driven Health Care Advocacy Lawrence N. Gelb
Access Health Group: A Medical Management Perspective Joseph Tallman
Consumer’s Medical Resource: Helping Consumers Evaluate Medical Treatment Options David A. Hines
The Cost-Effectiveness of Consumer-Driven Lifestyle Changes in the Treatment of Cardiac Disease Dean Ornish
Proven Reduction of the Need and Demand for Medical Services: Healthtrac, Inc. James F. Fries
Re-Inventing the Patient: The HealthWise® Approach Donald W. Kemper, Molly Mettler
Part Four: Innovative Consumer-Driven Solutions to Chronic Problems
The Role of Providers Michael L. Millenson
A Disease Management Approach to Chronic Illness Jessie C. Gruman, Cynthia Gibson
Consumer-Driven Health Care: Management Matters Richard Bohmer, Amy C. Edmondson, Gary Pisano
Consumer-Driven Health Care for the Chronically Ill Al Lewis
A Cost-Effective Model for High-Quality Catastrophic Care Bernard Salick, Seth M. Yellin
Collaborating with Consumers to Advance Health Knowledge and Improve Practice S. Robert Levine, Laura L. Adams
Packaging Pricing at the Texas Heart Institute Denton A. Cooley, John W. Adams, Jr.
Helping Patients Manage Their Asthma: The National Jewish Approach Lynn Taussig, David Tinkelman
Shouldice Hospital: Focused Model of Health Care Delivery Daryl Urquhart, Alan O’Dell
Chronic Problems, Innovative Solutions: Paving the Way to the Focused Factory Stuart Lovett
Improving Health and Reducing the Costs of Chronic Diseases Robert E. Stone
The Impact of Horizontal Integration in Hospitals: HCA Healthcare Corporation Thomas F. Frist
An Innovative Approach to Population Health: Kaiser Permanente Southern California Les Zendle
The Right Care: Vanderbilt Medical Center Harry Jacobson
Achieving Focus in Hospital-Based Health Care: The Role of Relational Coordination Jody Hofer Gittell
Consumer-Driven Health Care Is a Message of Hope James F. Rodgers
An Academic Health Center Perspective Roger J. Bulger
The Advent of Consumer-Driven Health Care François Maisonrouge
Individual Genetic Profiles: The Empowerment of the Health Care Consumer Tony L. White
Delivering the Right Drug to the Right Patient Mark Levin
Part Five: The Role of Government
The Uninsured: Understanding and Resolving an American Dilemma Jon R. Gabel
A Health Insurance Tax Credit: The Key to More Coverage and Choice for Consumers David B. Kendall
Flexible Spending Accounts and Medical Savings Accounts Dean Clancy
The Politics of Consumer-Driven Health Care Plans Eric Berger, Carrie Gavora, Daniel Johnson
Health Care: What Role for Regulation? Karen Ignagni
Adult Health Insurance Kenneth Abramowitz
Americhoice Corporation: Personal Care Model Anthony Welters
The Uninsured and Access Constance G. Jackson
Consumer-Driven Health Care for the Uninsured Kevin Vigilante
A Health Care SEC: The Truth, The Whole Truth, and Nothing But the Truth Regina E. Herzlinger
Keep ’Em Honest: The Health Care SEC Robert N. Shamansky
The U.S. Needs a Consumer-Driven Medical Care System Rita Ricardo-Campbell
Government’s New Roles in the Era of Consumer-Driven Health Care Richard A. D’Amaro
The Editor
The Contributors
Name Index
Subject Index
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