"The regulatory structure of health care makes it incredibly difficult to innovate, " Golinkin says.
No dent in costs is possible until the structure of health care is fundamentally changed.
WSJ: Christensen, Flier and Vijayaraghavan:The Coming Failure of 'Accountable Care'
"We don't structure our health system to support that, " he says.
We don't, at the moment, have a rational reimbursement structure for health care--you may pay more for a procedure at one location and the quality of care may not be higher.
And to put some scale on that, if General Motors, for example, had Toyota's wage structure or benefit structure or health care cost, that is roughly equal to five new products a year every year.
Will it accomplish the goal of lowering costs and providing appropriate benefits to consumers while allowing for a workable compensation structure to health care providers all under the direction of the very people who depend on the plan for their health care needs?
FORBES: Proof Obamacare Seeks To Put Control Of Healthcare In The Hands Of The Consumer
As Sir David pointed out as he was grilled by members of the Health Select Committee over his handling of the Stafford Hospital scandal, the coming weeks will see the whole structure of the health service redrawn.
Its main job would be to develop the standards and structure for a health system that ensures accessible, affordable and high-quality care.
The first is about the structure of the health care system itself.
FORBES: Bending The Health Care Cost Curve: Fire the Doctors
Meanwhile, Pathmark gets relief from its biggest problem--a bloated cost structure driven by wage and health care inflation.
The confusion over what to do--which could lead to criminal charges for some hospital workers--says a lot about how burdensome our regulatory structure is when it comes to health care.
FORBES: What Burress Shooting Says About The Health Care Mess
Under the governance structure, it is not within the power of the health minister to sack a trust chief executive.
Private plans also have some latitude to structure their plans in such a way as to incentive smarter health spending.
FORBES: If Premium Support is 'Fatal' for Medicare, Why is it Good Enough for Obamacare?
On the governance side, Umicore has a more equitable compensation structure than most of its peers, coupled with above-average health and safety performance and employee turnover, he adds.
Health insurance in Massachusetts, for example, uses a similar structure as the Affordable Care Act, with an exchange, a personal responsibility requirement, and an employer responsibility requirement.
And if there is an oddity about this potential debacle, it is that the Department of Health and local authorities did not look more closely at the shaky structure of the private care-home industry before facilitating its explosive and dangerous growth by channelling hundreds of millions of pounds in its direction.
Health care reform in China reflects a sea change in demographics and social structure.
FORBES: Beijing's Healthcare Reform: $173 billion and counting
By extending benefits and eschewing politically difficult, but real, reforms such as means-testing benefits or radically reorganising Medicare's structure, the Clinton administration is simply endorsing a massive rise in government spending on health care.
ECONOMIST: Alas, a bigger surplus doesn��t bring better policies
The council also voted to close Southend Pier on Mondays and Tuesdays over the winter months, review its senior management structure and close Queensway House, home to the South Essex Partnership Trust's mental health and rehabilitation centre.
"It's analysing the health of the reef in terms of species distribution, and mapping that against the structure of the reefs to discover what reefs are important, " said Mr Vevers.
This year the smorgasbord from Iowa to California groaned under all the offerings: flattening the tax structure, abolishing free-trade agreements, limiting the terms of lawmakers, reinventing welfare or health care or public housing or farm subsidies, spending more on defense, cutting this agency or that, restricting immigration.
Yet the best managers are not likely to opt for working in the health service until a coherent training can be created with better incentives and a proper career structure with an educational component.
应用推荐