At first glance, the German health care system is a model for
other nations. Germany 's citizens have universal access to care
with free choice of providers, and pay premiums based on their
income rather than their health or employment status.
However, just like other nations Germany suffers from rising
costs and inconsistent quality, and reform efforts to date have
failed to solve these problems. Future reform efforts must make
value improvement, defined as patient health outcomes achieved per
euro spent, the central goal.
This book lays out an action agenda to move Germany to a
high-value system. This starts with reorganizing care around
patients and their medical conditions. Other key elements include:
true competition based on outcomes, the active role of health plans
in maximizing subscriber health, and the integration of private
insurance in the risk-pooling system.
The book shows that all these steps are practical and
achievable. Moving to a value-based health care system is the only
way for Germany to continue to ensure access to excellent health
care for everyone.
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