Health Affairs, 26, no. 6 (2007): 1537-1538 doi: 10.1377/hlthaff.26.6.1537 © 2007 by Project HOPE	New Online   Pay Cuts For Medicare Docs   Access To Care Woes   Public Coverage More Efficient   Empowering Consumers

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Perspectives

PERSPECTIVE

Technologies Of Health Policy

Major factors in adoption of new national health policies include (1) a crisis or perceived opportunity; (2) a persuasive diagnosis of what is needed; (3) a prescription for new policies; and (4) new technologies that are ready to go. The past twenty-five years illustrate that the development of new policy ideas to where they can be implemented as major nationwide reforms can take a decade or more. Many national policy ideas for evidence-based medicine—such as electronic health records, rapid-learning networks, predictive modeling, Medicare/Medicaid disease management, widespread pay-for-performance, and large consumer-information databases—are in a development phase.

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