Competition In Health Care: It Takes Systems To Pursue Quality And Efficiency: If systems are the best locus of accountability for health care quality and efficiency …
AC Enthoven, LA Tollen - Health Affairs, 2005 - healthaffairs.org
Many stakeholders agree that the current model of US health care competition is not
working. Costs continue to rise at double-digit rates, and quality is far from optimal. One
proposal for fixing health care markets is to eliminate provider networks and encourage
informed, financially responsible consumers to choose the best provider for each condition.
We argue that this “solution” will lead our health care markets toward even greater
fragmentation and lack of coordination in the delivery system. Instead, we need markets that …
working. Costs continue to rise at double-digit rates, and quality is far from optimal. One
proposal for fixing health care markets is to eliminate provider networks and encourage
informed, financially responsible consumers to choose the best provider for each condition.
We argue that this “solution” will lead our health care markets toward even greater
fragmentation and lack of coordination in the delivery system. Instead, we need markets that …