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Health care reform.

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Why is the American health care system so fragmented in the care it gives patients? This title approaches this question and more with a highly interdisciplinary approach. The articles included in the work address legal and regulatory issues, including laws that mandate separate payments for each provider.

Health care reform

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Health systems have to meet the changing needs of an increasingly assertive population and an ever more complex health policy context. Digitalisation, population ageing, chronic diseases, new pandemic threats, and evolving expectations of what health services should deliver - and how - have raised questions of whether health systems meet the needs and facilitate engagement of the people.

Health care reform. --- Health.

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On June 29, 1999, President Clinton announced the President's Plan to Modernize and Strengthen Medicare for the 21st Century. There was no accompanying legislation incorporating the President's proposal. Administration representatives indicated that they expected to work with the Congress in drafting bill language. The President's plan contained several key components. It would establish a new optional outpatient prescription drug benefit under a newly established Medicare Part D. It would create a new competitive defined benefit (CDB) program that would change the way Medicare+Choice managed care plans are paid. The plan would also make some benefit modifications and provide for the modification and extension of certain policies incorporated in the Balanced Budget Act of 1997 (BBA 97). Further, the proposal would incorporate a number of changes in the traditional fee-for-service (FFS) program which are designed to make the program more efficient. This report provides a summary of the President's plan. It will be updated as additional information becomes available.

Health care reform

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This study presents a broad overview of health-system reforms in OECD countries over the past several decades. Reforms are assessed according to their impact on the following policy goals: ensuring access to needed health-care services; improving the quality of health care and its outcomes; allocating an "appropriate" level of pubic sector and economy-wide resources to health care (macroeconomic efficiency); and ensuring that services are provided in a cost-efficient and cost-effective manner (microeconomic efficiency).While nearly all OECD countries have achieved universal coverage of health-care risks, initiatives to address persistent disparities in access are now being undertaken in a number of countries. In light of new evidence of serious problems with health-care quality, many countries have recently introduced reforms intended to improve this, but it is too soon to generalise as to the relative effects of alternative approaches. A variety of instruments aimed at cost control have succeeded in slowing the growth of (particularly public) health-care spending over the 1980s and 1990s but these have not addressed the root causes of growth and health-care spending continues to rise as a share of GDP in most countries. On the other hand, a few countries have been concerned that spending restrictions have gone too far and hurt health system-performance. There is some evidence that supply of health services has become more efficient, particularly in the hospital sector, but scope for further gains exists. A range of measures, such as better payment methods, have improved the microeconomic incentives facing providers. However, introducing improved incentives through a more competitive environment among providers and insurers has proved difficult.

Health care reform.