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Health Policy, General & Miscellaneous Health Policies, Health Economics
Strong Medicine by George C. Halvorson β€” book cover

Strong Medicine

by George C. Halvorson
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Overview

Americans spend $900 billion a year on health care. That's more than enough dollars to ensure high-quality care for every citizen. Why aren't we getting it? And what can we do about it?

In this plainspoken book, George Halvorson cuts to the heart of our health system's failure: the incentives we offer doctors, hospitals, and insurers.

We pay for procedures, not outcomes; we reward providers for what they do β€” whether it is effective or not β€” instead of for improving patient health.

The result is the most wasteful, complex, redundant health care system in the world, where as much as 25 percent of all procedures performed are unnecessary.George Halvorson argues convincingly that if we want to change our system we don't need more government regulation, greater expenditure, or health care rationing. Instead, we need the right incentives. If we reward quality and efficiency, the health care system in this country will turn itself around to provide them.

George Halvorson has spent twenty-five years on the front lines of health care. He has been president of an insurance company and a senior officer at Blue Cross & Blue Shield. Today, he manages one of the country's largest and most successful managed care organizations.

This lively, readable book combines the truths and eye-opening examples he has gathered on the job with the best research and thinking on health care today. It offers proposals for reform that are readily achievable and that will ensure better-quality. care for all Americans.

Author argues that changing the U.S. health care system requires the right incentives, rewarding quality, efficiency

About the Author, George C. Halvorson

George Halvorson is currently president and CEO of HealthPartners, a managed care organization headquartered in Minneapolis, Minnesota. He is chair-elect of the Group Health Association of America and serves on the Minnesota Health Care Commission, which created what may be the most sweeping health care reform package enacted by any state in the country.

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Editorials

Publishers Weekly - Publisher's Weekly

Because our country lacks a unified system connecting health care delivery and financing, our fee-for-service system offers the ``lowest value at the highest cost'' in the world, charges Halvorson, president and CEO of Group Health MedCenter Health Plan of Minneapolis. He further argues that insurers who operate on a risk-avoidance basis are indifferent to the quality of care received by their clients, thereby contributing to unnecessary expensive procedures and needless deaths. Illustrated with specific examples of present roles of doctor, hospital, insurer and government, the author's admittedly controversial reform proposal includes universal coverage, prepayment for team care ``with salary based on quality . . . not costs of patient care'' and consumer-focused monitoring. Halvorson's plans for bringing together caregiver and insurer into a single team are inadequately developed. (Oct.)

Book Details

Published
January 1, 1994
Publisher
New York : Random House, c1993.
Pages
251
Format
Hardcover
ISBN
9780679429807

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