Health Care Reform 2009

From the Publishers of the New England Journal of Medicine

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Controlling U.S. Health Care Spending — Separating Promising from Unpromising Approaches(0)

November 11, 2009

Peter S. Hussey, Ph.D., Christine Eibner, Ph.D., M. Susan Ridgely, J.D., and Elizabeth A. McGlynn, Ph.D.
High U.S. health care spending has been characterized not only as a barrier to affordable insurance but also as the preeminent long-term threat to the economy and the competitiveness of American business.

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Payment Reform for Safety-Net Institutions — Improving Quality and Outcomes

C. Jason Wang, M.D., Ph.D., Kathleen N. Conroy, M.D., and Barry Zuckerman, M.D.
In the U.S. health care system today, many hospitals have the market power to raise the prices of their services without showing evidence of improvements in the quality of care.1 In an effort to realign incentives, health care reformers are now proposing to [...]

Litigation amidst Reform — The Boston Medical Center Case

Wendy E. Parmet, J.D.
Nearly 175 years ago, Alexis de Tocqueville wrote in Democracy in America, “There is hardly a political question in the United States which does not sooner or later turn into a judicial one.” If de Tocqueville had it right, it should not be surprising that as we debate health care reform, litigation [...]

Massachusetts Health Care Reform — Near-Universal Coverage at What Cost?

Joel S. Weissman, Ph.D., and JudyAnn Bigby, M.D.
Massachusetts has long been known for its academic medical centers, biomedical research, high-quality health care, and perhaps not unrelatedly, high health care costs.


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