000			03911cam a2200433 i 4500
001			20353875
003			KPN
005			20211124105536.0
008			180131s2018 mau 001 0 eng c
010			_a 2018002101
020			_a9781633693661 _q(hardcover : alk. paper)
040			_aMH/DLC _beng _cMH _erda _dDLC
042			_apcc
043			_aa-ii--- _an-us---
050	0	0	_aRA410.55.I4 _bG684 2018
082	0	0	_a362.10954 _223
100	1		_aGovindarajan, Vijay, _eauthor.
245	1	0	_aReverse innovation in health care : _bhow to make value-based delivery work / _cVijay Govindarajan and Ravi Ramamurti.
264		1	_a[Boston, Massachusetts] : _bHarvard Business Review Press, _c[2018]
300			_aviii, 265 pages ; _c25 cm
336			_atext _2rdacontent
337			_aunmediated _2rdamedia
338			_avolume _2rdacarrier
500			_aIncludes index.
505	0		_aPart One. Health care solutions from a distant shore: value-based competition in India: An unhealthy problem meets an unlikely solution -- How value-based competition works: five core principles -- Value-based competition in action: Narayana health -- Part two. Reverse innovation in health care delivery: four models for the U.S.: Disrupting U.S. costs: Health City Cayman Islands -- Expanding rural access: University of Mississippi Medical Center -- Expanding access for the uninsured: Ascension Health -- Improving quality: Iora Health -- Promoting reverse innovation and value-based health care: how to get started.
520			_aHealth care in the United States and other nations is on a collision course with patient needs and economic reality. For more than a decade, leading thinkers including Michael Porter and Clayton Christensen have argued passionately for value-based health care reform: replacing delivery based on volume and fee-for-service with competition based on value, as measured by patient outcomes per dollar spent. Though still a pipe dream here in the United States, this kind of value-based competition is already a reality--in India. Facing a giant population of poor, underserved people and a severe shortage of skills and capacity, some risk-taking private enterprises have found a way to deliver high-quality health care, at ultra-low prices, to all patients who need it. Govindarajan and Ramamurti studied these Indian value-based models in depth. After investigating forty health care organizations and conducting field research on sixteen, they identified seven "exemplar" providers that consistently delivered high-quality health care at ultra-low cost, while being profitable, financially sustainable, and able to scale up their operations. Their secret sauce consists of five principles that work together to produce value-based care. Arguing that now is the time for the United States and other "rich" nations to learn from the "poor," this book shows how the innovations developed by these Indian exemplars are already being practiced by some far-sighted US providers--reversing the typical flow of innovation in the world. The authors describe four different pathways being used by these organizations to apply Indian-style principles to attack the exorbitant costs, uneven quality, and incomplete access to health care in the United States.-- _cProvided by publisher
546			_ain english
650		0	_aMedical care _zIndia _xQuality control.
650		0	_aMedical care _zUnited States _xQuality control.
650		0	_aMedical care _zIndia _xCost effectiveness.
650		0	_aMedical care _zUnited States _xCost effectiveness.
650		0	_aValue analysis (Cost control)
650		0	_aCompetition.
650		0	_aHealth planning.
700	1		_aRamamurti, Ravi, _eauthor.
906			_a7 _bcbc _corignew _d1 _eecip _f20 _gy-gencatlg
942			_2ddc _c1 _n0
999			_c427 _d427