Fixing U.S. Healthcare blog has championed the success of the Oregon Health Plan of 1994 (OHP), and has attributed its success to cost-benefit analysis. But was cost-benefit analysis really the key factor in its success? Or did the OHP succeed for other more fundamental reasons? And what are the implications for healthcare reform now? My answers … Continue reading Reframing Healthcare Reform: Cost-benefit, Systems Engineering, Both?
Noted surgeon and social-medical commentator Atul Gawande MD hosted a video roundtable in 2014 entitled “Avoiding Low-Value Care.” His panel seemingly challenged the idea that low-value care can be avoided, which is the crux of the cost-benefit approach to healthcare reform. But on closer look Dr. Gawande and panel may actually, in fact, be validating … Continue reading Doctors Critique Oregon-Style Cost-Benefit Approach to Healthcare Reform . . . But Not So Fast!
Can Liberals, Conservatives and Libertarians find common ground on an approach to reforming healthcare? - If you are Libertarian, click here. - If you are Liberal, click here. - If you are Conservative, click here. Jump to Summary Conclusion For Libertarians For Libertarians For Libertarians Americans are divided politically, now perhaps more so than at … Continue reading How Could Oregon-style Healthcare Reform Satisfy Liberals, Conservatives and Libertarians?
Fixing US Healthcare blog has touted the Oregon Health Plan of 1994 as a model of U.S. healthcare reform. But what are the strongest criticisms of OHP? Let’s look at 8 criticisms from 3 critics. Which criticisms are valid and which ones questionable? Finally, what about ethics? Jonathan Oberlander PhD: 5 Criticisms The first critic … Continue reading FAQ: What Are the Strongest Criticisms of the Oregon Health Plan for Healthcare Reform?
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