Redirecting Innovation In Us Health Care

New medical technologies are a leading driver of U.S. health care spending. This report identifies promising policy options to change which medical technologies are created, with two related policy goals: (1) Reduce total health care spending with the smallest possible loss of health benefits, and (2) ensure that new medical products that increase spending are accompanied by health benefits that are worth the spending increases.

An engaging account of innovation in healthcare and why the results fall short for patients and society. The evolution of the cell phones we carry in our pockets demonstrates that quality can increase while prices fall. Why doesn't healthcare also get better and cheaper? In Why Not Better and Cheaper?, James B. Rebitzer and Robert S. Rebitzer offer an answer to this question. Bringing together research on incentives, social norms, and market competition, they argue that the healthcare system generates the wrong kinds of innovation. It is too easy to profit from low-value innovations and too hard to profit from innovations that reduce the costs of care. The result is a healthcare system that is profusely innovative yet remarkably ineffective in discovering ways to deliver increased value at lower cost. Why Not Better and Cheaper? sheds new light on the trajectory of innovation in healthcare, and how to point innovation in a better direction.

Rethinking Health Care explains that the context for the reorganization of U.S. health care over the last several decades has been set by broader developments in the national and international political economies and shows how these health care developments have, in turn, affected the larger social and economic transformations that were occurring.

Dr. Richard L. Reece's Innovation-Driven Health Care: 36 Key Concepts for Transformation offers an accessible and compelling, in-depth look at important innovative trends in the healthcare industry. Written for practicing physicians, hospital-physician joint venturers, corporation benefit officers, health plan executives, healthcare reformers, and leaders of the consumer movement, this unique text is a must-have resource featuring six sections on small practice innovations, large group practice innovations, hospital/physician relationship innovations, employer/health plan innovations, cost constraints/reform innovations, and consumer-driven innovations. Each chapter includes clear descriptions and examples of the moving forces behind medical innovation and the state of the industry from the physician's and consumer's perspective, with comprehensive cases studies from leaders in the healthcare industry, illustrating practical use and implementation of each trend.

The U.S. health care system is in a state of flux, and changes currently under way seem capable of exerting sizable effects on medical innovation. This volume explores how the rapid transition to managed care might affect the rate and direction of medical innovation. The experience with technological change in medicine in other nations whose health care systems have "single-payer" characteristics is thoroughly examined. Technology and Health Care in an Era of Limits examines how financing and care delivery strategies affect the decisions made by hospital administrators and physicians to adopt medical technologies. It also considers the patient's stake in the changing health care economy and the need for a stronger independent contribution of patients to the choice of technology used in their care. Finally, the volume explores the impact of changes in the demand for medical technology in pharmaceutical, medical device, and surgical procedure innovation.

In "The Future of Healthcare: Innovations and Challenges Ahead," Carmen Wilde offers a compelling examination of the future landscape of healthcare in the United States. While many studies highlight the technological advancements poised to revolutionize medicine, Wilde takes a contrarian stance, arguing that the healthcare industry's structure significantly limits the realization of these innovations. By analyzing the incentives and operational frameworks within US healthcare, Wilde provides a thought-provoking perspective on why dramatic changes may not materialize as expected. This book does not delve into the merits or demerits of healthcare as a public good but instead focuses on the industry itself, particularly the delivery system. With rigorous analysis and insightful commentary, "The Future of Healthcare" challenges readers to rethink the future of medical innovation and the forces shaping it.

Since FDR, the US healthcare system has been mired in politics and policy. All the while it has only increased in complexity and cost. Today half of all personal bankruptcies are attributable to healthcare costs. Many community hospitals are barely getting by with single digit profit margins. With a system teetering on the edge of a systemic crisis, we need to turn to a brand-new approach to rescue the US healthcare system.

A revolution in American medicine is in full swing, with the race from fee-for-service to fee-for-value at the front line in an epic battle that will transform healthcare delivery for decades to come. In America’s Healthcare Transformation, eminent physician leader Robert A. Phillips brings together key thought leaders and trail-blazing practitioners, who provide a wide-ranging exploration of the strategies, innovations, and paradigm shifts that are driving this healthcare transformation. The contributors offer a panoramic look at the dramatic changes happening in the field of medicine, changes that put the patient at the heart of the process. Among other subjects, the essays evaluate innovative high quality and low cost care delivery solutions from around the United States and abroad, describe fundamental approaches to measuring the safety of care and the impact that guidelines have on improving quality of care and outcomes, and make a strong case that insurance reform will fundamentally and irreversibly drive delivery reform. In addition, America’s Healthcare Transformation reviews the role of health information technology in creating safer healthcare, provides a primer on the development of a culture of safety, and highlights ground-breaking new ways to train providers in patient safety and quality. Finally, the book looks at reports from Stanford Health Care and Houston Methodist which outline how successful behaviorally based strategies, anchored in values, can energize and empower employees to deliver a superior patient experience. Drawing on the wisdom and vision of today’s leading healthcare innovators, America’s Healthcare Transformation provides a roadmap to the future of American healthcare. This book is essential reading for all health care providers, health care administrators, and health policy professionals, and it will be an invaluable resource in the effort to improve the practice of medicine and the delivery of healthcare in our communities and nation.

This book provides an extensive review of what innovation means in healthcare, with real-life examples and guidance on how to successfully innovate with IT in healthcare.