The Jackson Hole initiatives for a twenty‐first century American health care system

Ellwood, Paul M.; Enthoven, Alain C.; Etheredge, Lynn

doi:10.1002/hec.4730010303

Cited by 73 publications

(20 citation statements)

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“…This paper compares the administration's proposal to the Jackson Hole Group proposal for national health reform. 1 In doing so, we explain how the above scenario could come to be and what must be done to prevent it. Section and title numbers refer to the Health Security Act.…”

Section: Economic Analysismentioning

confidence: 98%

A Single-Payer System In Jackson Hole Clothing

Enthoven¹,

Singer²

1994

Health Affairs

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President Clinton's Health Security Act relies on government regulation, not market forces, to control costs. The act creates an entitlement to comprehensive benefits and places the federal budget at risk for total health care costs in order to achieve universal coverage; it creates a system of new state purchasing monopsonies; and it attempts to control costs with price controls on health plan premiums, set and administered by a National Health Board that would be part of the executive branch, not insulated from political considerations. We believe there is a better way.

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Section: Economic Analysismentioning

confidence: 98%

A Single-Payer System In Jackson Hole Clothing

Enthoven¹,

Singer²

1994

Health Affairs

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“…33 Much of that paper repackages familiar ideas that have long been espoused by policy analysts such as Ellwood, Enthoven, and Etheredge; Pauly, Danzon, Feldstein, and Hoff; Herzlinger; and numerous other authors who have wrestled with the idea of forcing genuine price and quality competition onto the U.S. health system. 34 But Porter and Teisberg do offer some radical ideas on the pricing of health care services, which makes them relevant to the present inquiry.…”

Section: Hospital Pricing and Consumer-directed Health Carementioning

confidence: 99%

The Pricing Of U.S. Hospital Services: Chaos Behind A Veil Of Secrecy

2006

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Although Americans and foreigners alike tend to think of the U.S. health care system as being a "market-driven" system, the prices actually paid for health care goods and services in that system have remained remarkably opaque. This paper describes how U.S. hospitals now price their services to the various third-party payers and self-paying patients, and how that system would have to be changed to accommodate the increasingly popular concept of "consumer-directed health care." [Health Affairs 25, no. 1 (2006): 57-69]

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“…Unlike the Jackson Hole Group, we do not call for federal certification of a new category of "accountable health partnerships." 6 At least at first, the purchasing cooperatives would allow managed care plans operating in a region to compete; HIPCs might also be specially charged with facilitating the entry of new managed care plans in many areas.…”

Section: Some Differences In Approachmentioning

confidence: 99%

A Bridge to Compromise: Competition under a Budget

Starr¹,

Zelman²

1993

Health Affairs

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A new approach to universal health insurance combining managed competition and global budgets promises to break the impasse blocking comprehensive health reform. The central innovation is the development of regional health insurance purchasing cooperatives (HIPCs) as managers and reorganizers of the market and platforms for global budgets. Financing would be based on community-rated premiums, with obligations to employers capped as a percentage of payroll and to individuals as a percentage of family income. Budgets would cap the mandated core of spending and set a target for out-of-pocket expenditures.

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The Jackson Hole initiatives for a twenty‐first century American health care system

Cited by 73 publications

References 0 publications

A Single-Payer System In Jackson Hole Clothing

A Single-Payer System In Jackson Hole Clothing

The Pricing Of U.S. Hospital Services: Chaos Behind A Veil Of Secrecy

A Bridge to Compromise: Competition under a Budget

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