Could an approach used 23 years ago by a single state, targeted only at its Medicaid program, be applied on a national scale for reforming the vast U.S. healthcare system? The answer is Yes. Oregon in 1994 decided to cut services instead of cutting patients in response to a Medicaid budget squeeze. The governor used … Continue reading FAQ: Could a Healthcare Reform Plan Designed for a Single State Work at a National Level?
Tag: Cost Effectiveness
Navigating Payment Reform – NEJM Catalyst
Harvard Business School and New England Journal of Medicine Catalyst group convened a webinar on “Navigating Payment Reform for Providers, Payers & Pharma” on November 2. Presenters admirably fulfilled Dr. Dafny’s challenge as convener to be transparent about goals, attuned to new ideas, open to trade-offs, and unafraid of failure. From the perspective of General Systems … Continue reading Navigating Payment Reform – NEJM Catalyst
Segment 9 – The Big Fix for U.S. Healthcare
This segment reviews the “Big Fix,” based on the idea of setting limits fairly. It describes the success of the Oregon Health Plan of 1994. In the first 8 Episodes, we have reviewed the evolution of the US healthcare delivery system and insurance system. We have identified the relentless growth of healthcare spending as the … Continue reading Segment 9 – The Big Fix for U.S. Healthcare
Fixing U.S. Healthcare 