Toward a 21st Century Health System: The Contributions and Promise of Prepaid Group Practice - Jossey-Bass Public Health

Marc Notes: Originally published: San Francisco, Calif.: Jossey-Bass, 2004.; Includes bibliographical references and index.;'Models of Physician Practice' argues that pre-paid group practices are a cost-efficient high quality alternative to the commercial health maintenance organizations. Table of Contents: Tables and Exhibits ix Acknowledgments xi The Contributors xiii Foreword xxiii"William L. Roper" Preface xxvii"Alain C. Enthoven, Laura A. Tollen" 1 Prepaid Groups and Organized Delivery Systems: Promise, Performance, and Potential 1"Stephen M. Shortell and Julie Schmittdiel" 2 Systems and Results: The Basis for Quality Care in Prepaid Group Practice 22"Donald M. Berwick and Sachin H. Jain" 3 The Clinical and Economic Performance of Prepaid Group Practice 45"Kenneth H. Chuang, Harold S. Luft, and R. Adams Dudley" 4 Prepaid Group Practice and Health Care Policy 61"Jon B. Christianson and George Avery" 5 Technology Assessment, Deployment, and Implementation in Prepaid Group Practice 85"David M. Eddy" 6 Managing the Pharmacy Benefit in Prepaid Group Practice 108"William H. Campbell, Richard E. Johnson, and Sharon L. Levine" 7 Prepaid Group Practice and Medical Workforce Policy 128"Jonathan P. Weiner" 8 Prepaid Group Practice and Health Care Research 156"Raymond Fink and Merwyn R. Greenlick" 9 Physician Leadership: "Group Responsibility" as Key to Accountability in Medicine 179"Francis J. Crosson, Allan J. Weiland, and Robert A. Berenson" 10 The Limits of Prepaid Group Practice 199"James C. Robinson" 11 The Relationship Between Prepaid Group Practice and the Employer Community 213"Helen Darling" 12 Open the Markets and Level the Playing Field 227"Alain C. Enthoven" Editors' Introduction to the Epilogue 247 Epilogue: Prepaid Group Practice and Computerized Caregiver Support Tools 249"George C. Halvorson" Appendix: The Origins of Prepaid Group Practice in the United States 265"Jon A. Stewart" Index 275Biographical Note: Alain C. Enthoven is Marriner S. Eccles Professor of Public and Private Management (Emeritus), Graduate School of Business, and Senior Fellow, Center for Health Policy, Stanford University. He was an architect of the managed competition model of health reform, subsequently adopted by President Clinton in the Health Security Act of 1996. Laura A. Tollen is senior policy consultant for the Kaiser Permanente Institute for Health Policy. She works on issues related to insurance market structure and functioning. Jacket Description/Back: Toward "a" 21"st" Century Health System "Toward a 21st Century Health System's" contributors include George Avery, M. P. H., University of Minnesota School of Public Health and University of Minnesota-Duluth Department of Psychology Robert A. Berenson, M. D., F. A. C. P., The Urban Institute Donald M. Berwick, M. D., M. P. P., Institute for Healthcare Improvement William H. Campbell, Ph. D., University of North Carolina at Chapel Hill, School of Pharmacy Jon B. Christianson, Ph. D., University of Minnesota, Carlson School of Management Kenneth H. Chuang, M. D., San Francisco Veterans Affairs Medical Center Francis J. Crosson, M. D., The Permanente Federation Helen Darling, M. A., National Business Group on Health R. Adams Dudley, M. D., M. B. A., U. C. San Francisco, Institute for Health Policy Studies David M. Eddy, M. D., Ph. D. Alain C. Enthoven, Ph. D., Stanford University, Graduate School of Business. Raymond Fink, Ph. D., Medical and Health Research Association of New York City Merwyn (Mitch) R. Greenlick, Ph. D., Oregon Health and Science University Medical School George C. Halvorson, Kaiser Foundation Health Plan and Hospitals Richard E. Johnson, Ph. D., R. Ph., Center for Health Research, Kaiser Permanente Northwest Sharon L. Levine, M. D., The Permanente Medical Group Harold S. Luft, U. C. San Francisco, Institute for Health Policy Studies Sachin H. Jain, Institute for Healthcare Improvement James C. Robinson, Ph. D., U. C. Berkeley, School of Public Health Julie Schmittdiel, M. A., U. C. Berkeley, School of Public Health Stephen M. Shortell, Ph. D., U. C. Berkeley, School of Public Health Jon A. Stewart, The Permanente Federation Laura A. Tollen, M. P. H., Kaiser Permanente Institute for Health Policy Allan J. Weiland, M. D., Northwest Permanente, P. C. Jonathan P. Weiner, Dr. P. H., Johns Hopkins University, Bloomberg School of Public Health Praise for "Toward a 21st Century Health System" "After three decades of trying to reform health care by looking for a "silver bullet," I found the "future" has been here for more than a century. Policymakers tired of banging heads and gavels on stone walls need look no further than this well-designed analysis of prepaid group practice for the incentives necessary to enhance health system quality, safety, and performance, expand access and equity, and vastly improve the professional-patient relationship." --Hon. David Durenberger, U. S. Senator (1978-1995), Senior Health Policy Fellow, University of St. Thomas "If you wonder why the American health system is judged by distinguished experts as "the poster boy of underachievement," read this collection of fine essays by longtime students of that system. The book is a particularly valuable read for students of medicine, health administration, and health policy. Here they will learn how much better value might be wrung out of the health system for the truly ample resources Americans grant it." --Uwe Reinhardt, James Madison professor of Political Economy, Princeton University

Contributor Bio:  Enthoven, Alain C Alain C. Enthoven is Marriner S. Eccles Professor of Public and Private Management (Emeritus), Graduate School of Business, and Senior Fellow, Center for Health Policy, Stanford University. He was an architect of the managed competition model of health reform, subsequently adopted by President Clinton in the Health Security Act of 1996. Laura A. Tollen is senior policy consultant for the Kaiser Permanente Institute for Health Policy. She works on issues related to insurance market structure and functioning.