MooPig Site Reviews :: Harvard Business Review
Retrieved by Pat Darnell
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HEALTH CARE: Action Steps No altruism is required -- moving to value-based competition will benefit every participant in the system. Those who act early will benefit most.
Competition in Health Care
Health care is on a collision course with patient needs and economic reality.
Without significant changes, the scale of the problem will only get worse.
Rising costs, mounting evidence of quality problems, and increasing numbers of Americans without insurance are unacceptable and unsustainable, but the future of health care is not predetermined.
It is a mistake to extrapolate and attempt to respond to trends within the current structure.
Instead, the most pressing task for leaders in health care is to create a new and better structure.
Effective leaders have the insight to revisit the fundamental purpose of an organization and imagine a different and more effective way to attain it.
Government control in health care is not inevitable.
Indeed, countries with government-dominated systems are moving away from that model. America can move now to a system based on the right kind of competition that will serve patients far better than either a government-run model or the current U.S. system.
Scoping the Problem
The system is broken, and the magnitude of the problem is staggering.
Identifying Root Causes
The fundamental flaw in the health care sector is not competition, but the wrong kind of competition.
How Reform Went Wrong
Piecemeal solutions aimed at symptoms rather than causes have proved to be ultimately ineffective.
Value-Based Competition
The focus for all actors must become improvement in health outcomes per dollar expended.
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