THE COMMONWEALTH FUND Will Consumer Directed Health Care Improve Quality of Care and System Performance? Stephen C. Schoenbaum, MD Executive Vice President.

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Presentation transcript:

THE COMMONWEALTH FUND Will Consumer Directed Health Care Improve Quality of Care and System Performance? Stephen C. Schoenbaum, MD Executive Vice President for Programs August 23,

THE COMMONWEALTH FUND How Might System Performance & Quality Improve? System Performance: ? Improved coverage/access ? Improved equity ? Improved timeliness of care ? Improved efficiency –getting the same outcomes with optimal use of resources/less cost

THE COMMONWEALTH FUND How Might System Performance & Quality Improve? Quality: ? Improved effectiveness of care ? Improved safety ? Improved patient-centeredness ? Improved efficiency –Getting better outcomes for the same or less cost

Conflicting “Evidence” About Effects on Quality/Utilization Aetna –Same or increased use of preventive practices Harris Interactive Survey –Decreased use of necessary services

Patient-Centeredness Transparency –Tiering Shared Decision Making Less Complex Processes of Care

The Greatest Good For The Greatest Number How CDHP’s could increase coverage: –? But, is this likely

The Jury Is Out CDHPs are a reality Membership is increasing We need good, independently generated data on quality & system performance

Policy Implications If quality is deteriorating If quality is improving

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