Alternative Systems of Care and Consumer-Driven Health Care

  • Daniel Guss


The fundamental aspiration of any health-care system is to maximize the value it provides to patients. Historically, clinical advancement has been at epicenter of this aim, but skyrocketing costs and inconsistent correlations with outcomes have precipitated the search for system-wide alternatives. Any successful health-care system must ultimately integrate patients, providers, and payers in such a manner that promotes quality while containing costs. Doing so requires defining value in health care, as well as understanding the implications of moral hazards. Consumer-driven health care aims to use these concepts to alter the way patients approach health care, while accountable care organizations hope to do the same for providers. In both scenarios, the key questions include who benefits from and who bears the costs of decision making in the context of moral hazards, and how does a potential system-wide solution effectively distribute risk in order to incent innovations that maximize value?


Gross Domestic Product Moral Hazard Accountable Care Organization Public Payer Define Patient Population 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



Accountable Care Organization


Consumer-Driven Health Care


High-Deductible Health Plan


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Department of Orthopedic SurgeryMassachusetts General HospitalBostonUSA

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