Communities and health care : the Rochester, New York, experiment / Sarah F. Liebschutz.

Format:

Book

Author/Creator:

Liebschutz, Sarah F.

Series:

Rochester studies in medical history

Rochester studies in medical history, 1526-2715

Language:

English

Subjects (All):

Medical care--New York (State)--Rochester--History.

Medical care.

Community health services--New York (State)--Rochester--History.

Community health services.

Hospitals--New York (State)--Rochester--Planning--History.

Hospitals.

History.

New York (State)--Rochester.

Planning.

Prospective Payment System--history.

New York.

Health Planning Organizations--history.

History, 20th Century.

Hospital Planning--history.

Insurance, Hospitalization--history.

Reimbursement Mechanisms--history.

Medical Subjects:

Prospective Payment System--history.

New York.

Health Planning Organizations--history.

History, 20th Century.

Hospital Planning--history.

Insurance, Hospitalization--history.

Reimbursement Mechanisms--history.

Physical Description:

xvi, 255 pages : illustrations ; 24 cm.

Place of Publication:

Rochester, NY : University of Rochester Press, 2011.

Summary:

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 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 regulate such key components as insurance coverage, quality of care, hospitals, and other providers. And communities matter because they organize and deliver health care at the ground level through private and employed health care professionals and public, private, and nonprofit hospitals. 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. Book jacket.

Contents:

Communities and health care

Health : a community affair

Rochester's community legacy

The Rochester-area hospitals

MAXICAP : precursor to HEP

The Rochester Area Hospitals Corporation : decision-making forum

The Hospital Experimental Payment Program : basic facts

HEP in retrospect

The post-HEP years : the changed environment

Sprinting toward the mean

The relevance of the Rochester experiment.

Notes:

Includes bibliographical references and index.

ISBN:

9781580463850

1580463851

OCLC:

669751037