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Redefining German Health Care [Hardcover]

Michael E. Porter , Clemens Guth
4.0 out of 5 stars  See all reviews (1 customer review)
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Book Description

10 Feb 2012 3642108253 978-3642108259 2012
The German health care system is on a collision course with budget realities. Costs are high and rising, and quality problems are becoming ever more apparent. Decades of reforms have produced little change to these troubling trends.  Why has Germany failed to solve these cost and quality problems? The reason is that Germany has not set value for patients as the overarching goal, defined as the patient health outcomes achieved per euro expended.  This book lays out an action agenda to move Germany to a high value system: care must be reorganized around patients and their medical conditions, providers must compete around the outcomes they achieve, health plans must take an active role in improving subscriber health, and payment must shift to models that reward excellent providers. Also, private insurance must be integrated in the risk-pooling system. These steps are practical and achievable, as numerous examples in the book demonstrate. 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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Product details

  • Hardcover: 324 pages
  • Publisher: Springer; 2012 edition (10 Feb 2012)
  • Language: English
  • ISBN-10: 3642108253
  • ISBN-13: 978-3642108259
  • Product Dimensions: 2.3 x 15.8 x 23.3 cm
  • Average Customer Review: 4.0 out of 5 stars  See all reviews (1 customer review)
  • Amazon Bestsellers Rank: 1,473,210 in Books (See Top 100 in Books)
  • See Complete Table of Contents

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Review

We must thank the authors of Redefining German Health Care for changing the language of the current health care debate. Their book makes a passionate argument for moving the health care discussion beyond cost control, health insurance premiums and risk pooling. It is health outcomes that matter to patients, not insurance premiums per se. 

Prof. Dr. Dr. Dr. Eckhard Nagel, Institute for Medical Management and Health Sciences University of Bayreuth and Chief Medical Officer University Hospital Essen,  Germany

 The introduction of competition among health insurances in Germany was successful. However, it is long overdue to instil value-adding competition to the provider side. This is convincingly demonstrated by Michael Porter and Clemens Guth in their excellent adaption of the original Redefining Health Care book.

Prof. Dr. Norbert Klusen, Chief Executive Officer Techniker Krankenkasse, Hamburg, Germany

 In the book Redefining German Health Care, Michael Porter and Clemens Guth establish clear, actionable steps which providers and health plans should take to maximize patient value. They argue that every provider should focus their service lines, measure outcomes and organise integrated care around medical conditions. This book is inspiring and a must read for health care managers.”

Prof. Dr. Karl Max Einhäupl, Chief Executive Officer Charité – Universitätsmedizin, Berlin, Germany

Physicians and provider organizations must make outcome measurement core to their activities. Outcome measurement demonstrates that not the volume but the results of care matter. Superior providers will benefit from transparency of results, either through pay-for-performance or simply through more patients. Redefining German Health Care shows us convincingly how we can embark on this course.

Professor Dr. Dr. h.c. Peter C. Scriba, Chairman of the Research Board of the German Medical Association, former Vice-President of Health Care Advisory Council and Chief Medical Officer of Ludwig-Maximilians-University Hospital, Munich, Germany

 

The book “Redefining German Health Care” by Michael Porter and Clemens Guth provides a fact-based analysis of the development of the German health care system. On the one hand, the analysis and assessment demonstrates the system’s substantial achievements (also with respect to other countries), while, on the other hand, it speaks clearly about the system’s shortcomings, which are highlighted by concrete examples. The reader is presented with logical arguments for structurally changing the health care system, building on the already achieved benefits. Both authors rightly assume that better quality in conjunction with appropriate financing and incentive schemes will lead to higher cost efficiency, as shown in other industries. The system will not improve without an honest debate over the current system’s challenges. This book makes a significant contribution to that process.     

Prof. Dr. Jürgen Wettke, Director Healthcare Practice McKinsey & Company, Duesseldorf, Germany

 

From the Back Cover

 The German health care system is on a collision course with budget realities. Costs are high and rising, and quality problems are becoming ever more apparent. Decades of reforms have produced little change to these troubling trends.

 Why has Germany failed to solve these cost and quality problems? The reason is that Germany has not set value for patients as the overarching goal, defined as the patient health outcomes achieved per euro expended.

 This book lays out an action agenda to move Germany to a high value system: care must be reorganized around patients and their medical conditions, providers must compete around the outcomes they achieve, health plans must take an active role in improving subscriber health, and payment must shift to models that reward excellent providers. Also, private insurance must be integrated in the risk-pooling system.

These steps are practical and achievable, as numerous examples in the book demonstrate. 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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4.0 out of 5 stars relevant 13 Nov 2013
Format:Hardcover|Verified Purchase
Porter and colleagues have been looking at healthcare over the past few years and this special look at Germany is timely. Germany has a generally well-regarded healthcare system, characterised though by obvious fragmentation, mis-/under-/over-use of clinical services, driven in the main by the reimbursement system -- fee for service. All countries with FFS systems suffer from service fragmentation, in particular they have single-handed general practitioners, who can hardly participate comprehensively in integrated care, disconnected pharmacies, which are only drug dispenseries and do not participate actively in care management, and higher costs per case than needed. While others have been saying the same thing for years about Germany, as well as France, Belgium and others, it is good to see Porter weigh in with his structured, evidence-informed criticism.

Now how about tackling the mother of resistent reformers the UK's NHS, or even the basket-case that is Canada. But perhaps there is more mileage to be made looking at the problems of partitioned healthcare systems such as India, China and Saudi Arabia for starters.
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Amazon.com: 4.0 out of 5 stars  1 review
4.0 out of 5 stars What's German for "good stuff?" 22 April 2014
By __Alessandro__ - Published on Amazon.com
Format:Hardcover|Verified Purchase
Porter's prior "Redefining Health Care" presented his theory for a value-based health-care reform. This is the use-case. The book describes the experience of moving to a value-based system in Germany. The book does present the "lessons learned" from the experience, but I still sense that things were harder than presented. Nevertheless, there's a lot of good stuff in here.
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