The Healthcare Imperative: Lowering Costs and Improving Outcomes: Workshop Series Summary
2010

Workshop_series

You must be logged in to download this publication.

Select Book Type

Paperback - $112.50
Ebook - $89.99

See project
Request an exam or desk copy

The United States has the highest per capita spending on health care of any industrialized nation but continually lags behind other nations in health care outcomes including life expectancy and infant mortality. National health expenditures are projected to exceed $2.5 trillion in 2009. Given healthcare's direct impact on the economy, there is a critical need to control health care spending.

According to The Health Imperative: Lowering Costs and Improving Outcomes, the costs of health care have strained the federal budget, and negatively affected state governments, the private sector and individuals. Healthcare expenditures have restricted the ability of state and local governments to fund other priorities and have contributed to slowing growth in wages and jobs in the private sector. Moreover, the number of uninsured has risen from 45.7 million in 2007 to 46.3 million in 2008.

The Health Imperative: Lowering Costs and Improving Outcomes identifies a number of factors driving expenditure growth including scientific uncertainty, perverse economic and practice incentives, system fragmentation, lack of patient involvement, and under-investment in population health. Experts discussed key levers for catalyzing transformation of the delivery system. A few included streamlined health insurance regulation, administrative simplification and clarification and quality and consistency in treatment.

The book is an excellent guide for policymakers at all levels of government, as well as private sector healthcare workers.

Additional materials

Infographic

Publication information

852 pages · 6 x 9 · paperback
ISBN Paperback: 0-309-14433-7
ISBN Ebook: 0-309-14434-5
DOI: https://doi.org/10.17226/12750

Suggested citation

Institute of Medicine. 2010. The Healthcare Imperative: Lowering Costs and Improving Outcomes: Workshop Series Summary. Washington, DC: The National Academies Press.

Import this citation to:

Bibtext
EndNote
Reference manager

First Name
Last Name
Email (required)
I agree to receive emails from the National Academies (required)

We respect your privacy and will never share your information.

Search this publication

Front Matter i-xxiv
Synopsis and Overview 1-66
Section I: Excessive Healthcare Costs 67-68
1 The Healthcare Imperative 69-84
2 Unnecessary Services 85-108
3 Inefficiently Delivered Services 109-140
4 Excess Administrative Costs 141-174
5 Prices That Are Too High 175-218
6 Missed Prevention Opportunities 219-238
Section II: Strategies That Work 239-240
7 Strategies That Work 241-256
8 Knowledge Enhancement 257-280
9 Care Culture and System Redesign 281-334
10 Transparency of Cost and Performance 335-358
11 Payment and Payer-Based Strategies 359-406
12 Community-Based and Transitional Care 407-432
13 Entrepreneurial Strategies 433-452
Section III: The Policy Agenda 453-454
14 The Policy Agenda 455-472
15 Payments for Value Over Volume 473-492
16 Medically Complex Patients 493-516
17 Delivery System Integration 517-534
18 Delivery System Efficiency 535-546
19 Administrative Simplification 547-568
20 Consumers-Directed Policies 569-582
Section IV: Getting to 10 Percent 583-584
21 Taking Stock: Numbers and Policies 585-598
22 Getting to 10 Percent: Opportunities and Requirements 599-618
23 Common Themes and Next Steps 619-632
Appendixes 633-634
Appendix A: Workshop Discussion Background Paper: 635-754
Appendix B: Workshop Agendas 755-772
Appendix C: Planning Committee Biographies 773-778
Appendix D: Speaker Biographies 779-827
Other Publications in the Learning Healthcare System Series 828-828

Log In

Former MyNAP users: You'll need to reset your password on your first login to MyAcademies. Click "Forgot password" below to receive a reset link via email. Having trouble? Visit our FAQ page to contact support.

Members of the National Academy of Sciences, National Academy of Engineering, or National Academy of Medicine should log in through their respective Academy portals.

Email (required)
Password (required)

Don't have an account?

Register

Email (required)
New password (required)
Retype password (required) Password must be at least 8 characters
I accept the terms of use
terms of use

Thank You

Thank you for creating a MyAcademies account!

Enjoy free access to thousands of National Academies' publications, a 10% discount off every purchase, and build your personal library.

Forgot Password

Enter the email address for your MyAcademies (formerly MyNAP) account to receive password reset instructions.

Email (required)

Reset Requested

We sent password reset instructions to your email . Follow the link in that email to create a new password. Didn't receive it? Check your spam folder or contact us for assistance.

Reset Password

New password (required)
Retype password (required) Password must be at least 8 characters

Reset Password

Your password has been reset.

Verify email

Verify Your Email Address

We sent a verification link to your email. Please check your inbox (and spam folder) and follow the link to verify your email address. If you did not receive the email, you can request a new verification link below

The Healthcare Imperative: Lowering Costs and Improving Outcomes: Workshop Series Summary (2010)

Chapter: Section I: Excessive Healthcare Costs

Section I
Excessive Healthcare Costs