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Abstract
The problems of the US health care system are not the result of inattention. Well-intended reformers have long recognized that the system has been badly broken. However, reform efforts have failed because the diagnosis of the problem was wrong. The absence of value-based competition on results has had consequences that have been widely misunderstood by both reformers and system participants. This chapter briefly reviews the history of the US health care system and the many attempts to improve it, and describes the strengths and limitations of some recent reform initiatives. This chapter is excerpted from ‘Redefining Health Care: Creating Value-Based Competition on Results'.
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Abstract
The problems of the US health care system are not the result of inattention. Well-intended reformers have long recognized that the system has been badly broken. However, reform efforts have failed because the diagnosis of the problem was wrong. The absence of value-based competition on results has had consequences that have been widely misunderstood by both reformers and system participants. This chapter briefly reviews the history of the US health care system and the many attempts to improve it, and describes the strengths and limitations of some recent reform initiatives. This chapter is excerpted from ‘Redefining Health Care: Creating Value-Based Competition on Results'.
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