Paradox and Imperatives in Health Care: Redirecting Reform for Efficiency and Effectiveness, Revised Edition

Jeffrey C. Bauer

August 25, 2014 by Productivity Press
Reference - 159 Pages - 1 B/W Illustrations
ISBN 9781466593244 - CAT# K20602

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  • Reveals why the medical sector has stopped expanding and how the end of growth will dramatically transform supply and demand for health care
  • Updates the first edition’s analysis and forecasts while providing specific recommendations for moving the medical marketplace in a better direction
  • Explains why health care providers must strategically address scientific, political, and economic changes that will not be kind to "business as usual"
  • Shows how economic principles of efficiency and effectiveness can redirect wasted resources to building a good health system before expanding access
  • Introduces proven processes for performance improvement that providers must use to deliver services correctly all the time, as inexpensively as possible
  • Highlights leaders’ critical role as change agents to align organizational responses with the new realities of the medical marketplace


The Paradox: Americans are not as healthy as people in dozens of comparable countries that spend 30 percent less on health care, and our medical marketplace overall is plagued by persistent problems of cost, quality, and access. Yet, the world’s best individual health systems are located in the U.S.—each a unique result of visionary leadership and private initiative, not government-driven health reform.

The Imperatives: Due to powerful new forces explained in this book, medical spending has stopped growing. Purchasers, payers, and patients are no longer willing or able to keep paying more. To stay in business and improve population health, providers and their business partners must eliminate the shameful waste generated by inefficient and ineffective production processes.

The Solution: Simply repairing or repealing the Affordable Care Act will not get us where we want to go. The fundamental roadblock is a wasteful system, not uninsured Americans. Reform needs to be immediately redirected to creating the best health care system that 17 percent of GDP can buy. Money saved by taking the new path to reform can then be used to improve population health through access for all. Paradox and Imperatives in Health Care is the roadmap for getting there.

  • Supplies updated perspectives on health care’s problems and solutions
  • Details the reasons why government-driven reform does not solve problems
  • Provides a justification for regulatory relief tied to performance improvement
  • Suggests specific new policies for a better approach to desired outcomes
  • Presents content written expressly for busy executives and policy makers


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