Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-25T07:13:31.689Z Has data issue: false hasContentIssue false
  • English
  • Français

The Simple Reality of Our Complex System: The Future of Health Care

Published online by Cambridge University Press:  01 January 2021

Sylvia Mathews Burwell
Get access Rights & Permissions [Opens in a new window]

Abstract

The incredible complexity of the United States health care system can be connected to three simple outcomes: access, affordability, and quality. We should measure our progress against these three measures. While historic progress on access was made through implementation of the Affordable Care Act, the next area of focus for more results across all three measures is delivery system reform.

Type
Symposium Articles
Information
Journal of Law, Medicine & Ethics , Volume 46 , Issue 4: Next Steps in Health Reform , Winter 2018 , pp. 825 - 828
Copyright
Copyright © American Society of Law, Medicine and Ethics 2018

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Cohen, R. A., Martinez, M. E., and Zammitti, E. P., Division of Health Interview Statistics, National Center for Health Statistics, Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, January – March 2018, August 2018, available at <https://www.cdc.gov/nchs/data/nhis/earlyrelease/insur201808.pdf> (last accessed December 5, 2018).+(last+accessed+December+5,+2018).>Google Scholar
The Economic Record of the Obama Administration: Reforming the Health Care System, The White House, December 2016, available at <https://obamawhitehouse.archives.gov/sites/default/files/page/files/20161213_cea_record_healh_care_reform.pdf> (last accessed October 10, 2018), 27–36.+(last+accessed+October+10,+2018),+27–36.>Google Scholar
Cohen, Martinez, and Zammitti, supra note 1.Google Scholar
“Status of State Action on the Medicaid Expansion Decision,” Kaiser Family Foundation, January 16, 2018, available at <https://www.kff.org/health-reform/state-indicator/state-activity-around-expanding-medicaid-under-the-affordable-care-act/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D> (last accessed October 10, 2018).+(last+accessed+October+10,+2018).>Google Scholar
Buettgens, M., The Implications of Medicaid Expansion in the Remaining States: 2018 Update, The Robert Wood Johnson and Urban Institute, May 2018, available at <https://www.urban.org/sites/default/files/publication/98467/the_implications_of_medicaid_expansion_2001838_2.pdf> (last accessed on October 10, 2018).Google Scholar
“Key Facts about the Uninsured Population,” Kaiser Family Foundation, November 29, 2017, available at <https://www.kff.org/uninsured/fact-sheet/key-facts-about-the-uninsured-population/#footnote-237026-13> (last accessed on October 11, 2018).+(last+accessed+on+October+11,+2018).>Google Scholar
Garfield, R., Damico, A., Foutz, J., Claxton, G., and Levitt, L., “Estimates of Eligibility for ACA Coverage Among the Uninsured in 2016,” Kaiser Family Foundation, October 25, 2017, available at <https://www.kff.org/uninsured/issue-brief/estimates-of-eligibility-for-aca-coverage-among-the-uninsuredin-2016-october-2017-update/> (last accessed October 11, 2018).+(last+accessed+October+11,+2018).>Google Scholar
Looney, A. and Martin, K., “One in Five 2014 Marketplace Consumers was a Small Business Owner or Self-Employed,” U.S. Department of the Treasury, January 12, 2017, available at <https://www.treasury.gov/connect/blog/Pages/Onein-Five-2014-Marketplace-Consumers-was-a-Small-Business-Owner-or-Self-Employed.aspx> (last accessed October 11, 2018).+(last+accessed+October+11,+2018).>Google Scholar
Finkelstein, A., Hendren, N., and Shepard, M., Subsidizing Health Insurance for Low-Income Adults: Evidence from Massachusetts, The National Bureau of Economic Research, Working Paper No. 23668, August 2017, available at <https://scholar.harvard.edu/files/hendren/files/commcare.pdf> (last accessed on March 21, 2018).CrossRefGoogle Scholar
“Employer Health Benefits: 2017 Annual Survey,” The Kaiser Family Foundation and Health Research & Educational Trust, available at <http://files.kff.org/attachment/Report-Employer-Health-Benefits-Annual-Survey-2018> (last accessed December 5, 2018).+(last+accessed+December+5,+2018).>Google Scholar
Chappel, A., Sheingold, S., and Nguyen, N., Health Care Spending Growth and Federal Policy, U.S. Department of Health and Human Services, Office of the Assistant Secretary of Policy and Evaluation, March 22, 2016, available at <https://aspe.hhs.gov/system/files/pdf/190471/SpendingGrowth.pdf> (last accessed October 11, 2018).Google Scholar
The Economic Record of the Obama Administration: Reforming the Health Care System, The White House, December 2016, 3-4, available at <https://web.archive.org/web/20170118031033/ https://www.whitehouse.gov/sites/default/files/page/files/20161213_cea_record_healh_care_reform.pdf> (last accessed October 11, 2018).+(last+accessed+October+11,+2018).>Google Scholar
“National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data from National Efforts to Make Health Care Safer,” Agency for Healthcare Research and Quality, December 2016, available at <https://www.ahrq.gov/professionals/quality-patient-safety/pfp/2015-interim.html> (last accessed on October 11, 2018).+(last+accessed+on+October+11,+2018).>Google Scholar
ASPE Issue Brief, Essential Health Benefits: Individual Market Coverage, Assistant Secretary for Planning and Evaluation U.S. Department of Healt hand Human Services (December 16, 2011), available at <https://aspe.hhs.gov/basic-report/essential-health-benefits-individual-market-coverage>(last visited December 5, 2018).(last+visited+December+5,+2018).>Google Scholar
“NHE Fact Sheet,” Centers for Medicare and Medicaid Services, available at <https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/nation-alhealthexpenddata/nhe-fact-sheet.html> (last accessed October 11, 2018), last updated February 2018.+(last+accessed+October+11,+2018),+last+updated+February+2018.>Google Scholar
Miliard, M., “HHS gets to value-based reimbursement goal ahead of schedule,” Healthcare IT News, March 3, 2016, available at <www.healthcareitnews.com/news/hhs-gets-value-based-reimbursement-goal-ahead-schedule> (last accessed October 11, 2018).+(last+accessed+October+11,+2018).>Google Scholar
Fryhofer, S. L., Seshamani, M., DeSalvo, K. B., and Conway, P. H., “Progress and Path Forward on Delivery System Reform,” NEJM Catalyst, available at <https://catalyst.nejm.org/delivery-system-reform-progress-path/> (last accessed October 11, 2018).+(last+accessed+October+11,+2018).>Google Scholar
Id.Google Scholar
HHS Retrospective Regulatory Review Update: May 2012, available at <https://www.hhs.gov/sites/default/files/open/retrospective-review/regulatory-introductory-statement201205.pdf> (last accessed on October 11, 2018)+(last+accessed+on+October+11,+2018)>Google Scholar
Fryhofer, S. L., Seshamani, M., DeSalvo, K. B., and Conway, P. H., “Progress and Path Forward on Delivery System Reform,” NEJM Catalyst, available at <https://catalyst.nejm.org/delivery-system-reform-progress-path/> (last accessed on October 11, 2018).+(last+accessed+on+October+11,+2018).>Google Scholar
Slavitt, A. and Conway, P., “A Healthier Medicare: Focusing on Primary Care, Mental Health, and Diabetes Prevention,” The Official Blog for the Centers for Medicare and Medicaid Services, November 11, 2016, available at <http://way-back.archive-it.org/2744/20170118125253/https:/blog.cms.gov/2016/11/02/a-healthier-medicare-focusing-on-primary-care-mental-health-and-diabetes-prevention/> (last accessed October 11, 2018).+(last+accessed+October+11,+2018).>Google Scholar
Gov. Hickenlooper, J. W., Gov. Kasich, J., Gov. Walker, B., Gov. Wolf, T., and Gov. Sandoval, B., A Bipartisan Blueprint for Improving Our Nation's Health System Performance, February 23, 2018, available at <https://www.colorado.gov/governor/sites/default/files/bipartisan_governors_blueprint_022218final.pdf> (last accessed October 11, 2018). (last accessed October 11, 2018).' href=https://scholar.google.com/scholar?q=Gov.+Hickenlooper,+J.+W.,+Gov.+Kasich,+J.,+Gov.+Walker,+B.,+Gov.+Wolf,+T.,+and+Gov.+Sandoval,+B.,+A+Bipartisan+Blueprint+for+Improving+Our+Nation's+Health+System+Performance,+February+23,+2018,+available+at++(last+accessed+October+11,+2018).>Google Scholar
“Hatch, Wyden Applaud Committee Passage of CHRONIC Care Act,” United States Senate Committee on Finance, May 18, 2017, available at <https://www.finance.senate.gov/chairmans-news/hatch-wyden-applaud-committee-passage-of-chronic-care-act> (last accessed October 11, 2018).+(last+accessed+October+11,+2018).>Google Scholar