Chapter 6Integrating to Make It Happen
"At the end of the day, the only reasonable conclusion is that we waste a huge amount of money on the most nuttily cumbersome administrative system in the world."
—Henry Aaron, Brookings Institution economist, writing about the U.S. health-care system.1
As we've wrestled in our research with the challenges of making health care higher in quality, lower in cost, and more conveniently accessible, it has become quite clear what needs to be done. The basic problem is not unique to health care: improving quality, cost, and accessibility has been an issue in the history of many industries. In each of these other cases, it was disruptive innovation that transformed expensive, complicated products and services into ...