Seemed Like a Good Idea

Alchemy versus Evidence-Based Approaches to Healthcare Management Innovation

Mark Pauly, Flaura Winston, Mary Naylor, Kevin Volpp, Lawton Robert Burns, Ralph Muller, David Asch, Rachel Werner, Bimal Desai, Krisda Chaiyachati, Benjamin Chartock

• Publisher: Cambridge University Press
• Year: 2022
• Print ISBN: 9781316519035
• eBook ISBN: 9781009019170
• Topic: Business
• Subtopic: Entrepreneurship
• Index: Business

Consumers, public officials, and even managers of health care and insurance are unhappy about care quality, access, and costs. This book shows that is because efforts to do something about these problems often rely on hope or conjecture, not rigorous evidence of effectiveness. In this book, experts in the field separate the speculative from the proven with regard to how care is rendered, how patients can be in control, how providers should be paid, and how disparities can be reduced – and they also identify the issues for which evidence is currently missing. It provides an antidote to frustration and a clear-eyed guide for forward progress, helping health care and insurance innovators make better decisions on deciding whether to go ahead now based on current evidence, to seek and wait for additional evidence, or to move on to different ideas. It will be useful to practitioners in hospital systems, medical groups, and insurance organizations and can also be used in executive and MBA teaching.

Table of contents

• Cover
• Half-title
• Title page
• Copyright information
• Contents
• List of Figures
• List of Contributors
• Preface
• 1 Baseline Observations
• 2 Evidence and Growth in Aggregate Spending and Changes in Health Outcomes: Where Has the Battleship Been Going, and How Can We Turn It?
• 3 The Benchmark Decision Model, the Value of Evidence, and Alternative Decision Processes
• 4 Care Coordination
• 5 Evidence-Based Programs to Improve Transitional Care of Older Adults
• 6 Vertical Integration of Physicians and Hospitals: Three Decades of Futile Building upon a Shaky Foundation
• 7 Evidence on Provider Payment and Medical Care Management
• 8 Evidence on Ways to Bring about Effective Consumer and Patient Engagement
• 9 The Unmet and Evolving Need for Evidence-Based Telehealth
• 10 Evidence and the Management of Health Care for Disadvantaged Populations
• 11 Driving Innovation in Health Care: External Evidence, Decision-Making, and Leadership
• 12 Concluding Chapter
• Index