Seemed Like a Good Idea
Alchemy versus Evidence-Based Approaches to Healthcare Management Innovation

Informs stakeholders about which changes in health care provision and financing work and which don't. Provides evidence on the evidence.

Mark Pauly (Author), Flaura Winston (Author), Mary Naylor (Author), Kevin Volpp (Author), Lawton Robert Burns (Author), Ralph Muller (Author), David Asch (Author), Rachel Werner (Author), Bimal Desai (Author), Krisda Chaiyachati (Author), Benjamin Chartock (Author)

9781316519035, Cambridge University Press

Hardback, published 28 July 2022

300 pages
23.5 x 15.8 x 2.6 cm, 0.8 kg

'This is an insightful book from a group of scholars who not only have excellent research credentials, but also have strong understanding of the real world that health care organizations live in. In many different areas needed to improve health care, they present what evidence research provides about what works and what does not and document where the research has been used and where it has not.' Paul B. Ginsburg, Professor of Health Policy, Price School of Public Policy, University of Southern California

Consumers, public officials, and even managers of health care and insurance are unhappy about care quality, access, and costs. This book shows that is because efforts to do something about these problems often rely on hope or conjecture, not rigorous evidence of effectiveness. In this book, experts in the field separate the speculative from the proven with regard to how care is rendered, how patients can be in control, how providers should be paid, and how disparities can be reduced – and they also identify the issues for which evidence is currently missing. It provides an antidote to frustration and a clear-eyed guide for forward progress, helping health care and insurance innovators make better decisions on deciding whether to go ahead now based on current evidence, to seek and wait for additional evidence, or to move on to different ideas. It will be useful to practitioners in hospital systems, medical groups, and insurance organizations and can also be used in executive and MBA teaching.

1. Baseline observations Mark Pauly
2. Evidence and growth in aggregate spending and changes in health outcomes Mark Pauly and Benjamin Chartock
3. The benchmark decision model, the value of evidence, and alternative decision processes Mark Pauly
4. Care coordination Lawton R. Burns and Rachel M. Werner
5. Evidence-based programs to improve transitional care of older adults Mary Naylor and Rachel M. Werner
6. Vertical integration of physician and hospitals: three decades of futile building upon a shaky foundation Lawton R. Burns, David Asch, and Ralph Muller
7. Evidence on provider payment and medical care management Ralph Muller and Mark Pauly
8. Evidence on ways to bring about effective consumer and patient engagement Kevin Volpp and Mark Pauly
9. The unmet and evolving need for evidence-based telehealth Krisda Chaiyachati and Bimal Desai
10. Evidence and the management of health care for disadvantaged populations Mark Pauly, Ralph Muller, and Mary Naylor
11. Driving innovation in health care: external evidence, decision-making and leadership Flaura Winston and Mark Pauly
12. Concluding chapter.

Subject Areas: Entrepreneurship [KJH], Finance [KFF]