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October 2007
Healthcare 2015 & U.S. Health Plans: New Roles, New Competencies
"The environment in which U.S. health plans
operate is fundamentally changing as the health care system struggles to
address ever increasing cost, quality and access pressures. U.S. health
care expenditures per capita are 2.3 times higher than that of other
developed countries1 and are projected to increase 83% over the next ten
years.
Despite this spending, there are quality concerns. For example, medical
errors cause between 48,000 and 98,000 patient deaths and medication errors cost over $3.5 billion annually. There
are also significant access issues as 47.0 million Americans are
uninsured and an additional 15.6 million are underinsured for
catastrophic healthcare expenses. Although cost, quality, and access
issues are not new in the U.S., we believe today's healthcare environment
has fundamentally changed, and, more importantly, is unsustainable. The
purpose of this study is to provide recommendations for health plans
regarding what they need to do to thrive in the new order. "
Excerpt
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