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...

The US public health insurance market is shifting toward reimbursement models that transfer risk away from the government and toward health insurers and healthcare providers. Instead of paying fee-for-service (FFS) to healthcare providers, Medicaid and Medicare now outsource healthcare delivery to managed care plans and the plans accept risk related to their enrollees’ healthcare costs. Previou...

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 ...

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 ...

The Polish Parliament is hurriedly considering a proposal for disposing of the present legal status, role and significance of the National Programme for the Protection of Mental Health (NPOZP). The Programme, which until now has been part of the Mental Health Act since 2011, has been implemented with great difficulty and much resistance, in close cooperation with local governments as well as br...