Japan Health Care Act Reform: Toward Decentralization And Integrated Health Care System

Health Care Reform—An Integrated Health Care Delivery System Perspective

Why the need for such a radical shift? Because in the past decade, employers’ health care costs have increased more than four times the inflation rate. The average U.S. household spends $15,300 a year for a family of four on health care. And, as a nation, we spend nearly 18 percent of the gross domestic product on health care. If we stay this course, the percentage of health care spending will ...

Health Care Reform in Japan

Health care system reform.

Washington State Health Services Act: Implementing Comprehensive Health Care Reform

In 1993, Washington State enacted the Health Services Act of 1993 (HSA) to guarantee universal access to health care through an employer mandate, with caps on premiums as the primary cost-control mechanism. The HSA represents the Nation's first formal experiment with managed competition. This article reports the results of a case study of the HSA's implementation. The study concludes that the W...

Toward a 21st-century health care system: recommendations for health care reform.

The coverage, cost, and quality problems of the U.S. health care system are evident. Sustainable health care reform must go beyond financing expanded access to care to substantially changing the organization and delivery of care. The FRESH-Thinking Project (www.fresh-thinking.org) held a series of workshops during which physicians, health policy experts, health insurance executives, business le...