The Healthcare Imperative: Lowering Costs and Improving Outcomes: Workshop Series Summary

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Table of Contents
Front Matter R1-R24
Synopsis and Overview 1-66
Section I: Excessive Healthcare Costs 67-68
1 The Healthcare Imperative 69-84
2 Unnecessary Services 85-108
3 Inefficiently Delivered Services 109-140
4 Excess Administrative Costs 141-174
5 Prices That Are Too High 175-218
6 Missed Prevention Opportunities 219-238
Section II: Strategies That Work 239-240
7 Strategies That Work 241-256
8 Knowledge Enhancement 257-280
9 Care Culture and System Redesign 281-334
10 Transparency of Cost and Performance 335-358
11 Payment and Payer-Based Strategies 359-406
12 Community-Based and Transitional Care 407-432
13 Entrepreneurial Strategies 433-452
Section III: The Policy Agenda 453-454
14 The Policy Agenda 455-472
15 Payments for Value Over Volume 473-492
16 Medically Complex Patients 493-516
17 Delivery System Integration 517-534
18 Delivery System Efficiency 535-546
19 Administrative Simplification 547-568
20 Consumers-Directed Policies 569-582
Section IV: Getting to 10 Percent 583-584
21 Taking Stock: Numbers and Policies 585-598
22 Getting to 10 Percent: Opportunities and Requirements 599-618
23 Common Themes and Next Steps 619-632
Appendixes 633-634
Appendix A: Workshop Discussion Background Paper: 635-754
Appendix B: Workshop Agendas 755-772
Appendix C: Planning Committee Biographies 773-778
Appendix D: Speaker Biographies 779-827
Other Publications in the Learning Healthcare System Series 828-828

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		Transparency and Informed Choice, Steven J. Spear		542
19		ADMINISTRATIVE SIMPLIFICATION		547
		Administrative Simplification and Payer Harmonization, Lewis G. Sandy		548
		Payer Harmonization on the Provider Perspective, Linda L. Kloss		552
		Policies Targeting Payer Harmonization, Harry Reynolds		556
20		CONSUMER-DIRECTED POLICIES		569
		Consumer Views of Higher-Value Care, Jennifer Sweeney		570
		Insurers, Consumers, and Higher-Value Care, Dick Salmon and Jeffrey Kang		574
		Policies Shaping Consumer Preferences on Value, Dolores L. Mitchell		577
SECTION IV: GETTING TO 10 PERCENT
21		TAKING STOCK: NUMBERS AND POLICIES		585
		A Look at the Numbers, J. Michael McGinnis		585
22		GETTING TO 10 PERCENT: OPPORTUNITIES AND REQUIREMENTS		599
23		COMMON THEMES AND NEXT STEPS		619
APPENDIXES*
A		Workshop Discussion Background Paper		635
B		Workshop Agendas		755
C		Planning Committee Biographies		773
D		Speaker Biographies		779

*	Appendixes A-D are not printed in this book. They are available online at http://www.nap.edu/catalog.php?record_id=12750.

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