Health Affairs, 26, no. 6 (2007): w664-w666 (Published online 18 September 2007) doi: 10.1377/hlthaff.26.6.w664 © 2007 by Project HOPE	New Online   Senate Health Reform Bill   Rewarding Providers   Public Option Policy Brief   Health Reform & Abortion   Delivery System Reform

This Article Full Text (HTML) Reprint (PDF) Submit a response to this article Alert me when this article is cited Alert me when Comments are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Davis, K. Articles by Schoen, C. Search for Related Content PubMed PubMed Citation Articles by Davis, K. Articles by Schoen, C. Related Collections Health Reform Medicaid Medicare State/Local Issues Health Spending Consumer Issues Variations Demography

Web Exclusives

FROM THE FIELD

State Health System Performance And State Health Reform

State policy officials are focusing on improving health insurance coverage, but other important dimensions of performance, including quality and cost, are receiving less attention. This paper explores the implications of new data on state personal health spending, quality, and health system performance. Personal health spending is not related to mortality or quality, but Medicare spending is closely linked to preventable hospitalization. States need to link improved insurance coverage with policy strategies to improve quality and efficiency—such as requiring those covered to designate a medical home and changing payment methods to reward care coordination and more prudent stewardship of resources.

                      What's this?