John Abendshien's Books

Health Care in the Next Curve

Transforming a Dysfunctional Industry

By: John Abendshien

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Health Care in the Next Curve

Transforming a Dysfunctional Industry

By: John Abendshien

Healthcare in the U.S. is a critical juncture. We face a sharp upward rise in the number of people with chronic diseases and disabilities. As demands on our current health system grow, so will costs. But as a society we are approaching the upper limit of how much we are willing (or able) to spend on health care. Health care policy makers know this. That is why major health reform measures are focused on population health and value-based care. These are the so-called second curve objectives. But these initiatives are doomed to failure. We are asking a system to do things that it was not designed to do. In fact, we don’t have a health care "system" as such. We have a parts bin of disconnected silos. Fragmented delivery systems. Specialized caregivers. Professional groups. Trade associations. All with distinct cultures. Each with their own motivations and agendas. Our payer and regulatory structures have evolved over the decades in response to political and policy initiatives. However well intentioned (or not), these structures defy logic. They reward and reinforce counter-productive industry behaviors. They pose formidable roadblocks to achieving needed changes. Current reform initiatives are an implicit recognition that our health model is flawed. The attitude seems to be, "Yes, we know the overall health system is a problem, but we can make failure less severe if we implement these measures." We are at a critical juncture. We can continue to place additional demands on an industry model that has outlived its functional utility. Or we can take more of a clean slate approach and move toward a model that is in keeping with today’s needs. The outlook is not good if we stay on the current curve. The demands on resources will continue their upward trajectory. The default scenario will be one of rationing and less to invest in new cures and new technologies. The good news is that we are within sight of a future state of health care that can really work. In this future state, we have gotten rid of the artificial barriers to effective and efficient patient care. Physicians and other health professionals work in a coordinated, inter-disciplinary fashion. They have accountability for the whole care cycle. Caregivers have both the flexibility and encouragement to innovate and come up with optimal delivery approaches. And because they are in a risk-reward relationship with payers, they have the incentives to provide true value. Patients feel intimately connected to a system that is focused on their specific needs. The key to this future state is good old-fashioned market discipline. Other delivery models must either improve or get out of the way. The market will demand cost-efficiencies and won’t tolerate waste. Much of our regulatory structure will be rendered unnecessary. There will be not rewards for poor performance. This book takes a unique macro-level perspective of clinical, economic, and regulatory problems and possible solutions. It takes an objective and something scathing look at current industry structure: a silo-driven culture and entrenchment that is driven by self-interest; as well as the complicity of government in preserving the status quo through regulations, licensure, payment systems, etc.

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Page Count

189

Publisher

Taylor & Francis

Published Date

ISBN 10

1351855212

ISBN 13

9781351855211

Health Care in the Next Curve

Transforming a Dysfunctional Industry

By: John Abendshien

Write a review Read reviews Take a Quiz Solve Book Puzzle

Health Care in the Next Curve

Transforming a Dysfunctional Industry

By: John Abendshien

Average ratings

N/A

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Solve jigsaw puzzle

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Page Count

189

Publisher

Taylor & Francis

Published Date

ISBN 10

1351855212

ISBN 13

9781351855211

The Journal, with Other Writings of John Woolman

By: John Woolman

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The Journal, with Other Writings of John Woolman

By: John Woolman

This work has been selected by scholars as being culturally important and is part of the knowledge base of civilization as we know it. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. To ensure a quality reading experience, this work has been proofread and republished using a format that seamlessly blends the original graphical elements with text in an easy-to-read typeface. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.

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Page Count

290

Publisher

Franklin Classics Trade Press

Published Date

ISBN 10

0353109010

ISBN 13

9780353109018

The Journal and Essays of John Woolman

By: John Woolman

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The Journal and Essays of John Woolman

By: John Woolman

This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.

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Page Count

418

Publisher

Wentworth Press

Published Date

ISBN 10

0526663731

ISBN 13

9780526663736

Book's by John Abendshien

Health Care in the Next Curve

Health Care in the Next Curve

Health Care in the Next Curve

Health Care in the Next Curve

The Journal, with Other Writings of John Woolman

The Journal, with Other Writings of John Woolman

The Journal and Essays of John Woolman

The Journal and Essays of John Woolman

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