The Simple Reality of Our Complex System: The Future of Health Care

2018 ◽  
Vol 46 (4) ◽  
pp. 825-828 ◽  
Author(s):  
Sylvia Mathews Burwell
Keyword(s):  
Complex System ◽  
United States ◽  
Health Care ◽  
Health Care System ◽  
Delivery System ◽  
Affordable Care Act ◽  
The United States ◽  
System Reform ◽  
The Future ◽  
Delivery System Reform

The incredible complexity of the United States health care system can be connected to three simple outcomes: access, affordability, and quality. We should measure our progress against these three measures. While historic progress on access was made through implementation of the Affordable Care Act, the next area of focus for more results across all three measures is delivery system reform.

Bridging the Gulf on Health Care Policy Beyond the Affordable Care Act

2022 ◽  
Vol 7 (1) ◽  
pp. 0-0
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care System ◽  
Affordable Care Act ◽  
Health Care Policy ◽  
The United States ◽  
Care Policy ◽  
Democratic System ◽  
The Affordable Care Act ◽  
Sustainable Health

This article presents a brief overview of the Affordable Care Act (ACA) and changes ushered into the health care system by the Act. The overview is followed by arguments for and against the ACA, integrating and situating the divergent arguments within the context of both democratic and conservative standpoints on health care policy. Furthermore, the article explores the possibility of identifying factors responsible for the seeming difficulty in transiting policy from agenda status to adoption in a democratic system of governance. The article concludes with suggestions on ways and strategies that can help in bridging the ostensible gap between divergent positions, with the hope of charting the course to the desired destination of an equitable and sustainable health care policy for the United States.

Controlling Health Care Costs under the ACA — Chaos, Uncertainty, and Transition with CMMI and IPAB

2018 ◽  
Vol 46 (4) ◽  
pp. 857-861
Author(s):  
Gwendolyn Roberts Majette
Keyword(s):  
Health Care ◽  
Federal Government ◽  
Health Care System ◽  
Health Care Costs ◽  
Delivery System ◽  
Delivery Of Health Care ◽  
Advisory Board ◽  
System Reform ◽  
Delivery System Reform ◽  
Care Costs

This article addresses two components of the new governing architecture (NGA) that help to reform the delivery of health care and to control costs of the health care system: the Center for Medicare and Medicaid Innovation (CMMI) and the Independent Payment Advisory Board (IPAB). The republican controlled federal government has partially disassembled these two components, threatening the effectiveness of federal delivery system reform and cost control initiatives.

The Delivery of Prostate Cancer Care in the United States: Implications for Delivery System Reform

2010 ◽  
Vol 184 (6) ◽  
pp. 2279-2284 ◽  
Author(s):  
Ted A. Skolarus ◽  
David C. Miller ◽  
Yun Zhang ◽  
John M. Hollingsworth ◽  
Brent K. Hollenbeck
Keyword(s):  
Prostate Cancer ◽  
United States ◽  
Delivery System ◽  
Cancer Care ◽  
The United States ◽  
System Reform ◽  
Delivery System Reform

Should Screening Programs Be Perfect?

PEDIATRICS ◽  
1983 ◽  
Vol 71 (2) ◽  
pp. 301-301
Author(s):  
PHILIP R. WYATT
Keyword(s):  
United States ◽  
Health Care ◽  
Early Detection ◽  
New England ◽  
Health Care System ◽  
The United States ◽  
Neonatal Hypothyroidism ◽  
Screening Programs ◽  
Care System

To the Editor.— The report of the New England Regional Screening Program1 on neonatal hypothyroidism is a stunning illustration of the vulnerability of screening programs. It is unfortunate that this experience will probably be used as an argument to minimize the input of screening programs in the health care system in the United States. The report illustrates that, in addition to the 2% of the screened population that eluded the program, 14 infants with hypothyroidism escaped the full benefits of early detection and treatment.

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