Book ID: CBB014688647

Communities and Health Care: The Rochester, New York, Experiment (2013)

unapi

Sarah F. Liebschutz (Author)


Boydell & Brewer


Publication Date: 2013
Physical Details: 272
Language: English

During the 1992 presidential campaign, candidate William J. Clinton praised Rochester's hospital experimental payment (HEP) program for containing costs and providing access to high quality health care. "If Rochester, New York, can do it with two-thirds of the cost of the rest of us," Clinton asserted, "America can do it too." This book is a detailed case study of a community that devised and implemented a unique, successful, and celebrated hospital cost containment experiment in the 1980s. Author Sarah Liebschutz describes the economic and social culture of Rochester dating to the early part of the twentieth century that provided the fertile soil for regional health planning and the HEP program. This study also examines how the changing economy ultimately stimulated robust competition among health care insurers and providers. What does Rochester's experience tell us about the role communities play in organizing and financing health care? The national government has long played -- and will continue to play -- a central role in determining health policy, funding health insurance, and reimbursing health care providers. The responsibility for dealing with the interlocking issues of access, quality, and costs, however, is not exclusively national. State governments shape the health system as they legislate, regulate, and finance such key components of health care as insurance coverage, quality of care, and hospitals and other providers. Communities matter because they organize and deliver health care at the ground level, through physicians, nurses, and other health care professionals, in both independent and hospital-affiliated settings. They matter because they ultimately determine whether health care in America is available, efficient, and effective. The book draws heavily on files of the Rochester Area Hospitals Corporation, made available specifically to the author, and on extensive interviews with business leaders, hospital trustees, and administrators whose decisions fostered collaboration and then competition.

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Citation URI
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Authors & Contributors
Begley, Philip
Vandenberg, Helen
Gaudillière, Jean-Paul
Dishman, Eric
Feinsilver, Julie M.
Martin, Wanda
Concepts
Health care
Medicine and government
Hospitals and clinics
Health policy
Medicine and society
Public health
Time Periods
20th century, late
21st century
20th century, early
20th century
Places
United States
Great Britain
Saskatchewan (Canada)
Oslo (Norway)
Botswana
England
Institutions
National Health Service (Great Britain)
University of Oslo
Johns Hopkins Hospital
American Medical Association
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