Leadership, Strategy, and Innovation: Health Care Collection (8 Items)

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Strategic Implications for Health Plans

HEALTH PLANS HAVE a unique and essential role in value-based competition in health care, as some forward-looking plans are beginning to demonstrate. Most health plans, however, are not living up to this potential. Instead, many have acted in ways that reinforced zero-sum competition and failed to deliver the most value to their customers. Significant changes will be needed in health plan mind-sets, attitudes, and ways of operating.

In the past, the strategies and practices of health plans detracted from value through bureaucracy, administrative costs, restricting physicians’ and patients’ choices, limiting services, attempting to micromanage medical practice, and generally gumming up the works through ...