Health Affairs, doi: 10.1377/hlthaff.26.6.w664 (Published online September 18, 2007) © 2007 by Project HOPE	New Online   McAllen, TX & Beyond: An Expert Roundtable   Geography & Reform   Medicaid or Insurance Exchange?   Siren Song of New GME   Public Plan Option: Pro & Con

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State Health System Performance And State Health Reform

¹ Karen Davis is president of the Commonwealth Fund in New York City.
² Cathy Schoen is senior vice president, Research and Evaluation.

^*Corresponding author.

Abstract

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. [Health Affairs 26, no. 6 (2007): w664-w666 (published online 18 September 2007; 10.1377/hlthaff.26.6.w664)]

Key Words: Consumer Issues, Demography, Health Reform, Medicaid, Medicare, State/Local Issues, Health Spending, Variations

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