Abstract

http://ssrn.com/abstract=2042644
 
 

Footnotes (82)



 


 



Valuing Health Care: Improving Productivity and Quality


Kenneth J. Arrow


Stanford University - Department of Economics

Kamran Bilir


University of Wisconsin - Madison - Department of Economics

Shannon Brownlee


New America Foundation

Robert M. Califf


Duke University - School of Medicine

Robert Cook-Deegan


Duke Institute for Genome Sciences & Policy

Frank L. Douglas


Ewing Marion Kauffman Foundation

Paula Ehrlich


Drug Discovery Center of Innovation

Stephen H. Friend


Sage Bionetworks

David Gratzer


Manhattan Institute for Policy Research

Scott E. Harrington


University of Pennsylvania - Wharton School

David A. Hyman


University of Illinois College of Law

Brink Lindsey


Cato Institute; Ewing Marion Kauffman Foundation

Robert E. Litan


Ewing Marion Kauffman Foundation; AEI-Brookings Joint Center for Regulatory Studies

Susan M. Love


Dr. Susan Love Research Foundation

Ernest Ludy


EGL Advisors/The Ludy Family Foundation

Lesa Mitchell


Ewing Marion Kauffman Foundation

Benjamin Moulton


Harvard University - Department of Health Policy & Management; Informed Medical Decisions Foundation

Dominique Pahud


Ewing Marion Kauffman Foundation

George Poste


Arizona State University

Franklyn G. Prendergast


Mayo Clinic Center for Individualized Medicine

George L. Priest


Yale University - Law School

Arti K. Rai


Duke University School of Law

Jonathan Rauch


Brookings Institution

Barak D. Richman


Duke University - School of Law

Carl J. Schramm


Syracuse University

Peter H. Schuck


Yale University - Law School

Gregory C. Simon


Pfizer, Inc.

Joseph M. Smith


West Wireless Health Institute

Dane Stangler


Ewing Marion Kauffman Foundation

John E. Tyler III


Ewing Marion Kauffman Foundation

John Wilbanks


Ewing Marion Kauffman Foundation; Sage Bionetworks

April 2012


Abstract:     
This report addresses a deceptively simple question: How can the productivity of American health care be substantially improved? Productivity, in lay terms, is the ratio of output to inputs. A more colloquial rendition of the question might be: how can we get a lot more bang for our health care buck?

By design, we have brought together a varied assortment of ideas and suggestions, illustrating the messy, grab-bag nature that effective changes often need to take. Yet our proposals do fall (albeit with some overlap) into four broad categories, which structure the recommendations section of this report.

Harnessing information: how systematically gathering and sharing data can unlock knowledge that produces systematically better choices. The key here is to incentivize a new corps of data entrepreneurs to collect and analyze existing medical data to discover and then disseminate the use of new therapies.

Improving research: encouraging more collaboration across institutions and funding more translational research (aimed at “translating” basic scientific discoveries into medicines and therapies).

Legal and regulatory reform: modernizing medical malpractice systems, removing counter-productive restrictions on health insurance premiums, and streamlining new drug approvals.

Empowering patients: there are large benefits of giving more power to the people who matter most — patients — to make informed decisions about their own care.

The ideas here are not new, though many of them are familiar only to the cognoscenti. To the contrary, we have sought ideas that have showed promise in the field, and then attempted to set them in a context that exploits the adjacent possible.

If this report can focus more minds in the health policy community and general public on finding and implementing those changes, in everything from clinical practices to regulatory structures, it will have succeeded.

From the Kauffman Task Force on Cost-Effective Health Care Innovation.

Number of Pages in PDF File: 64

Keywords: health care, health, policy, productivity, regulation

working papers series


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Date posted: April 20, 2012  

Suggested Citation

Arrow, Kenneth J. and Bilir, Kamran and Brownlee, Shannon and Califf, Robert M. and Cook-Deegan, Robert and Douglas, Frank L. and Ehrlich, Paula and Friend, Stephen H. and Gratzer, David and Harrington, Scott E. and Hyman, David A. and Lindsey, Brink and Litan, Robert E. and Love, Susan M. and Ludy, Ernest and Mitchell, Lesa and Moulton, Benjamin and Pahud, Dominique and Poste, George and Prendergast, Franklyn G. and Priest, George L. and Rai, Arti K. and Rauch, Jonathan and Richman, Barak D. and Schramm, Carl J. and Schuck, Peter H. and Simon, Gregory C. and Smith, Joseph M. and Stangler, Dane and Tyler, John E. and Wilbanks, John, Valuing Health Care: Improving Productivity and Quality (April 2012). Available at SSRN: http://ssrn.com/abstract=2042644 or http://dx.doi.org/10.2139/ssrn.2042644

Contact Information

Kenneth J. Arrow
Stanford University - Department of Economics ( email )
Landau Economics Building
579 Serra Mall
Stanford, CA 94305-6072
United States
Kamran Bilir
University of Wisconsin - Madison - Department of Economics ( email )
Madison, WI 53706
United States
Shannon Brownlee
New America Foundation ( email )
Washington, DC USA 20009
United States
HOME PAGE: http://newamerica.net/user/218
Robert M. Califf
Duke University - School of Medicine ( email )
United States
Robert Cook-Deegan
Duke Institute for Genome Sciences & Policy ( email )
Duke University, Box 90141
Durham, NC 27708-0141
United States
919 668-0790 (Phone)
919 668-0799 (Fax)
HOME PAGE: http://www.genome.duke.edu/directory/faculty/cook-deegan/
Frank L. Douglas
Ewing Marion Kauffman Foundation ( email )
4801 Rockhill Road
Kansas City, MO 64110-2046
United States
8169321204 (Phone)
Paula Ehrlich
Drug Discovery Center of Innovation ( email )
PO Box 13032
Research Triangle Park, NC 27709
United States
HOME PAGE: http://www.ddcoi.org
Stephen H. Friend
Sage Bionetworks ( email )
1100 Fairview Ave. N.
Mailstop M1-C108
Seattle, WA 98109
United States
(206) 667-2102 (Phone)
(206) 667-2062 (Fax)
HOME PAGE: http://sagebase.org
David Gratzer
Manhattan Institute for Policy Research ( email )
52 Vanderbilt Ave.
New York, NY 10017
United States
Scott E. Harrington
University of Pennsylvania - Wharton School ( email )
3641 Locust Walk
Colonial Penn Center
Philadelphia, PA 19104-6358
United States
215-898-9403 (Phone)
215-573-2157 (Fax)
HOME PAGE: http://scottharringtonphd.com/

David A. Hyman
University of Illinois College of Law ( email )
504 E. Pennsylvania Avenue
Champaign, IL 61820
United States
Brink Lindsey
Cato Institute ( email )
1000 Massachusetts Avenue, N.W.
Washington, DC 20001-5403
United States
Ewing Marion Kauffman Foundation ( email )
4801 Rockhill Road
Kansas City, MO 64110-2046
United States
Robert E. Litan (Contact Author)
Ewing Marion Kauffman Foundation ( email )
4801 Rockhill Road
Kansas City, MO 64110
United States
AEI-Brookings Joint Center for Regulatory Studies
1150 17th Street, N.W.
Washington, DC 20036
United States
Susan M. Love
Dr. Susan Love Research Foundation ( email )
2811 Wilshire Blvd., Suite 500
Santa Monica, CA 90403
United States
310-828-0060 (Phone)
310-828-5403 (Fax)
HOME PAGE: http://www.dslrf.org/
Ernest Ludy
EGL Advisors/The Ludy Family Foundation ( email )
Sausalito, CA
Lesa Mitchell
Ewing Marion Kauffman Foundation ( email )
4801 Rockhill Road
Kansas City, MO 64110-2046
United States
8169321109 (Phone)
8169321430 (Fax)
HOME PAGE: http://www.kauffman.org
Benjamin Moulton
Harvard University - Department of Health Policy & Management ( email )
677 Huntington Avenue
Kresge Building
Boston, MA 02115
United States
HOME PAGE: http://www.hsph.harvard.edu/faculty/benjamin-moulton/
Informed Medical Decisions Foundation
40 Court Street
Suite 300
Boston, MA 02108
United States
HOME PAGE: http://informedmedicaldecisions.org/about-us/our-team/staff/communications-outreach-policy/
Dominique Pahud
Ewing Marion Kauffman Foundation ( email )
4801 Rockhill Road
Kansas City, MO 64110-2046
United States
HOME PAGE: http://www.kauffman.org
George Poste
Arizona State University ( email )
Mail Code: 9908
1475 N. Scottsdale Rd. SkySong - Suite 361F
Tempe, AZ 85287
United States
(480)727-8662 (Phone)
HOME PAGE: http://www.casi.asu.edu/
Franklyn G. Prendergast
Mayo Clinic Center for Individualized Medicine ( email )
200 First Street SW
Rochester, MN 55905
United States
(507) 284-4081 (Phone)
(507) 281-9349 (Fax)
George L. Priest
Yale University - Law School ( email )
P.O. Box 208215
New Haven, CT 06520-8215
United States
Arti Kaur Rai
Duke University School of Law ( email )
Box 90360
Duke School of Law
Durham, NC 27708
United States
Jonathan Rauch
Brookings Institution ( email )
1775 Massachusetts Ave, NW
Washington, DC 20036
United States
Barak D. Richman
Duke University - School of Law ( email )
Box 90360
Duke School of Law
Durham, NC 27708
United States
919-613-7244 (Phone)
919-613-7231 (Fax)
Carl J. Schramm
Syracuse University ( email )
900 S. Crouse Avenue
Syracuse, NY 13244-2130
United States
Peter H. Schuck
Yale University - Law School ( email )
P.O. Box 208215
New Haven, CT 06520-8215
United States
Gregory C. Simon
Pfizer, Inc. ( email )
235 East 42 Street
New York, NY 10017
United States
Joseph M. Smith
West Wireless Health Institute ( email )
10350 North Torrey Pines Road
La Jolla, CA 92037
United States
HOME PAGE: http://www.westwirelesshealth.org/
Dane Stangler
Ewing Marion Kauffman Foundation ( email )
4801 Rockhill Road
Kansas City, MO 64110-2046
United States
816-932-1044 (Phone)
John E. Tyler III
Ewing Marion Kauffman Foundation ( email )
4801 Rockhill Road
Kansas City, MO 64110-2046
United States
816-932-1293 (Phone)
John Wilbanks
Ewing Marion Kauffman Foundation ( email )
4801 Rockhill Road
Kansas City, MO 64110-2046
United States
Sage Bionetworks ( email )
1100 Fairview Ave. North
Seattle, WA 98109
United States
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