C o n s u m e r - D r i v e n   H e a l t h   C a r e
Consumer-Driven Health Care: Implications for Providers, Payers and Policy Makers.


Communications Department

Book Info:

Available at
ISBN: 0-7879-5258-3
928 pages
April 2004, Jossey-Bass
US $55.00

Market-Driven Healthcare: Who Wins, Who Loses in the Transformation of America's Largest Service Industry

Consumer-Driven Health Care
Implications for Providers, Payers and Policy Makers

(Jossey-Bass, April 2004)

Edited by Regina E. Herzlinger
Manhattan Institute Senior Fellow



Introduction: Consumer-Driven Health Care

Part One:  Consumer-Driven Health Care

  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

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


[Home] [Regina E. Herzlinger] [Contributors] [Contents] [Essays] [Reviews]


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

 "No other author in the health field could write a book like Consumer-Driven Health Care, or make the kind of impact that Regina Herzlinger can make on America’s $1.5 trillion health care industry. As one of the health field’s most respected economists and business strategists, Professor Herzlinger can persuade corporate CEOs, Washington policymakers, benefits administrators, and hospital executives to reshape their strategy based on a market run by consumers. Remarkably, for an academic, she can write. 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  


Manhattan Institute