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Wednesday, February 23, 2005

"A fundamental reorientation of the health care business...is already under way"

[Paul D. Mango and Vivian E. Riefberg, "Health savings accounts: Making patients better consumers," The McKinsey Quarterly, Web exclusive, January 2005.]

The authors of this recent article first diagnose the fundamental problem in the health care system:

US health care premiums have continued to escalate as a result of three basic problems: third-party payers that insulate consumers from the financial implications of their health care choices, a lack of transparency in the quality of care and in the prices providers charge, and a reimbursement system that rewards activity over outcomes.

And then proceed to explain how consumer-driven health care will turn this model on its head and impact consumers, payers and providers:

Whatever the take-up of consumer-driven health plans, a fundamental reorientation of the health care business toward the consumer is already under way. Payers will have to make choices that could decide their longer-term role and economic influence in the market. Providers face extraordinary demands on their operating effectiveness as they attempt to compete on the basis of value in a world increasingly focused on price, quality, and service transparency.

[Greg Scandlen, "Choice is revolutionizing health care," The Wichita Eagle, 28 September 2004.]

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