Redefining Health Care

Creating Value-based Competition on Results

Michael E. Porter, Elizabeth Olmsted Teisberg

• Publisher: Harvard Business Review Press
• Year: 2006
• Print ISBN:
  9781591397786
• eBook ISBN:
  9781422133361
• Topic: Business
• Subtopic: Business General
• Index: Business

The U.S. health care system is in crisis. At stake are the quality of care for millions of Americans and the financial well-being of individuals and employers squeezed by skyrocketing premiums—not to mention the stability of state and federal government budgets.In Redefining Health Care, internationally renowned strategy expert Michael Porter and innovation expert Elizabeth Teisberg reveal the underlying—and largely overlooked—causes of the problem, and provide a powerful prescription for change.The authors argue that competition currently takes place at the wrong level—among health plans, networks, and hospitals—rather than where it matters most, in the diagnosis, treatment, and prevention of specific health conditions. Participants in the system accumulate bargaining power and shift costs in a zero-sum competition, rather than creating value for patients. Based on an exhaustive study of the U.S. health care system, Redefining Health Care lays out a breakthrough framework for redefining the way competition in health care delivery takes place—and unleashing stunning improvements in quality and efficiency.With specific recommendations for hospitals, doctors, health plans, employers, and policy makers, this book shows how to move health care toward positive-sum competition that delivers lasting benefits for all.

Table of contents

• Cover
• Copyright
• Dedication
• Preface
• Introduction
• 1: Scoping the Problem
• 2: Identifying the Root Causes
• 3: How Reform Went Wrong
• 4: Principles of Value-Based Competition
• 5: Strategic Implications for Health Care Providers
• 6: Strategic Implications for Health Plans
• 7: Implications for Suppliers, Consumers, and Employers
• 8: Health Care Policy and Value-Based Competition
• Conclusion
• Appendix A: Making Results Public The Cleveland Clinic
• Appendix B: The Care Delivery Value Chain
• Notes
• Bibliography
• About the Authors