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Alternative Systems of Care and Consumer-Driven Health Care

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Abstract

The fundamental aspiration of any health-care system is to maximize the value it provides to patients. Historically, clinical advancement has been at epicenter of this aim, but skyrocketing costs and inconsistent correlations with outcomes have precipitated the search for system-wide alternatives. Any successful health-care system must ultimately integrate patients, providers, and payers in such a manner that promotes quality while containing costs. Doing so requires defining value in health care, as well as understanding the implications of moral hazards. Consumer-driven health care aims to use these concepts to alter the way patients approach health care, while accountable care organizations hope to do the same for providers. In both scenarios, the key questions include who benefits from and who bears the costs of decision making in the context of moral hazards, and how does a potential system-wide solution effectively distribute risk in order to incent innovations that maximize value?

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Abbreviations

ACO:

Accountable Care Organization

CDHC:

Consumer-Driven Health Care

HDHP:

High-Deductible Health Plan

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Correspondence to Daniel Guss M.D., M.B.A. .

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Guss, D. (2013). Alternative Systems of Care and Consumer-Driven Health Care. In: Sethi, M., Frist, W. (eds) An Introduction to Health Policy. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7735-8_13

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  • DOI: https://doi.org/10.1007/978-1-4614-7735-8_13

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