Competition affects healthcare delivery systems' efficiency and quality of care, according to an article published in the September issue of Health Affairs. Alain Enthoven, Stanford Graduate School of Business faculty member and co-author of the article, said eliminating provider networks and encouraging consumers to choose their own providers would lead to additional inefficiencies and lack of coordination in healthcare delivery. Enthoven argued instead that integrated delivery systems that provide incentives for "teams of professionals to provide coordinated, efficient, evidence-based care, supported by state-of-the-art information technology" would help cut costs while at the same time improving quality of care. Risk-adjusted prepayment and consumer choice of IDS would ensure "appropriate care," Enthoven said. -- by Tracey Fuller
Enthoven argues for integrated delivery systems in <I>Health Affairs</I>
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