Alternative Systems of Care and Consumer-Driven Health Care
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?
KeywordsMigration Pneumonia Income Expense Harness
Accountable Care Organization
Consumer-Driven Health Care
High-Deductible Health Plan
- 8.Herzlinger R. Who killed health care? America’s $2 trillion medical problem – and the consumer-driven cure. New York: McGraw-Hill; 2007.Google Scholar
- 9.Smith A. An inquiry into the nature and causes of the wealth of nations. In: Bullock JC, editor. New York: PF Collier & Son; 1909. p. 351.Google Scholar
- 11.Claxton G, Rae M, Panchal N, Lundy J, Damico A, Osei-Anto A, Kenward K, Whitmore H, Pickreign J. Employer health benefits, 2011 annual survey. Menlo Park/Chicago: The Kaiser Family Foundation and Health Research & Educational Trust; 2011.Google Scholar
- 12.Publication 969, Health Savings Accounts and Other Tax-Favored Health Plans. Department of the Treasury, Internal Revenue Service. 2011. http://www.irs.gov/pub/irs-pdf/p969.pdf. Accessed 1 June 2012.
- 31.Health Affairs. Health policy brief: accountable care organizations. 2010 July 27. http://www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=20