He is a frequent speaker at national, state, and local programs on healthcare reform and has given invited testimony to Congress on payment reform. Miller has worked with a number of states and regions to help design and implement payment and delivery system reforms. His work with the Pittsburgh Regional Health Initiative (PRHI) demonstrating the significant financial penalties that hospitals c...

October 2013 marks the 50th anniversary of President John F. Kennedy's message to the US Congress on the need to reform mental healthcare. Much has changed in that time. In 2006, Frank and Glied summarized these changes and the forces behind them, finding that the well-being of people with mental illness was 'better but not well.' They also conclude that most improvements have been due to 'main...

Since its establishment in 1948, the history of the National Health Service (NHS) has been characterized by organisational turbulence and system reform. At the same time, progress in science, medicine and technology throughout the western world have revolutionized the delivery of healthcare. The NHS has become a much loved, if much critiqued, national treasure. It is against this backdrop that ...

The year is 2009, and America is once again grappling with ‘‘healthcare reform.’’ Health costs are climbing at an unsustainable rate, already consuming 17% of the nation’s gross domestic product, nearly twice that of other industrialized nations. An estimated 46 million US citizens are without any healthcare insurance at all, and another 25 million do not have sufficient insurance to adequately...

INTRODUCTION A recent health reform was implemented in Chile (the AUGE reform) with the objective of reducing the socioeconomic gaps to access healthcare. This reform did not seek to eliminate the private insurance system, which coexists with the public one, but to ensure minimum conditions of access to the entire population, at a reasonable cost and with a quality guarantee, to cover an import...

OBJECTIVE This essay was aimed at exploring and analysing the challenges and opportunities arising from reforming Colombian law 1438/2011 dealing with the healthcare-related social security system. METHODS Some outstanding issues from the reform introduced by Law 100/1993 were reviewed and then compared to the 2011 regulations; they were also contrasted (in market model conditions) with some ...

This article explores the key issues involved in the attempts at reform of the present medical malpractice system. Investigating the effects that federal tort reform legislation would have on physicians, patients, lawyers, and the medical malpractice insurers, Dr. Gunnar succinctly outlines the issues surrounding the present "crisis in healthcare" and explores the separate interests involved. T...