Description
Book SynopsisToward a 21st Century Health System is a collection of thoughtful analyses that explore a key element of the health care delivery system-physician group practices. Edited by policy experts Alain Enthoven and Laura Tollen, and written by a blue ribbon panel of health policy scholars and leaders including Stephen Shortell, Hal Luft, Donald Berwick, James Robinson, and Helen Darling, this resource addresses a variety of topics, including
- Organized delivery systems
- Quality of care in prepaid group practice versus other types of managed care
- The role of physician leadership and culture in group practice
- Prepaid group practice and the formation of national health policy
This comprehensive resource also covers such topics as pharmacy benefit management, technology assessment, health services research, and employer purchasing of benefits all as they relate to prepaid group practice.
Table of ContentsTables 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 275
