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Redefining German Health Care: Moving to a Value-Based System
by Michael E. Porter and Clemens Guth
Springer-Gabler, 320 pages
March 2, 2012 in Germany, March 28, 2012 in U.S.
summary (pdf)

Redefining German Health Care - Chancen für das deutsche Gesundheitssystem

 

  • Presents a comprehensive and coherent strategy to reform the German health care system

  • Outlines actionable recommendations to providers of health care, insurance plans, policy-makers and patients to improve the value of German health care

  • Delivers a functional description of the German health care system providing an excellent overview for practitioners in the field

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.

  • Umfassende Strategie zur Reformierung des deutschen Gesundheitswesens

  • Konkrete Vorschläge zur Neuorientierung rund um den Patientennutzen

  • Klarer Überblick und Handlungsempfehlungen für die Akteure im Gesundheitswesen

Das deutsche Gesundheitssystem ist auf Kollisionskurs mit der ökonomischen Realität. Die Kosten sind hoch und steigen weiter, und Qualitätsprobleme bei den Leistungserbringern werden immer offensichtlicher. Jahrzehnte von Reformen haben diesen besorgniserregenden Trend kaum geändert.

Warum hat es Deutschland nicht geschafft, die Kosten- und Qualitätsprobleme zu lösen? Das heutige System ist dominiert von Partikularinteressen. Nicht Kostenkontrolle, sondern die Steigerung des Patientennutzens – definiert als Behandlungsergebnis pro ausgegebenem Euro – ist das Ziel, das alle Akteure vereinigen kann.

Dazu muss man nicht auf die nächste Gesundheitsreform warten. Massive Verbesserungen lassen sich schon heute zum Vorteil aller verwirklichen. In den zwölf Empfehlungen des Buches geht es darum, wie sich Leistungserbringer um Krankheitsbilder organisieren, wie Wettbewerb um messbare Ergebnisqualität die Norm wird, wie Krankenkassen eine aktivere Rolle in der Gesundheit ihrer Versicherten einnehmen und wie das Vergütungssystem zukünftig Exzellenz in der Versorgung einzelner Krankheitsbilder belohnen sollte. Darüber hinaus zeigen die Autoren, warum die Einbindung der Privaten Krankenversicherung in den Risikostrukturausgleich der Gesetzlichen Krankenkassen unausweichlich ist.

Wenn der Patientennutzen in den Mittelpunkt gestellt wird, entstehen Chancen für alle.

 
             
 

For extended excerpts see publisher's website: English, German

For purchase in Germany: Amazon, others

For purchase in the U.S.:  Amazon, Barnes&Noble, IndieBound, others

 
           
Events and news
 



Wettstreit für den Patienten
Der Spiegel
December 2012

Wenn alle profitieren (pdf)
Von Guido Bohsem
Süddeutschen Zeitung
June 1, 2012

Radikalkur fürs Gesundheitssystem (pdf)
Artikel Süddeutsche
June 2012

Reformdebatte: Systemkritik aus Übersee
by Nora Schmitt-Sausen
Deutsches Ärzteblatt
June 2012

Redefining The Future Of German Health Care
Berlin Staff
National Public Radio
April 5, 2012

Book Launch
Michael E. Porter
The American Academy in Berlin
Berlin, Germany

March 1, 2012
presentation slides, event video, Academy journal (pdf)

 



Das deutsche Gesundheitssystem ist krank, denn:
Aber einer kennt die Therapie

Katja Gloger
Stern
March 2012

Progress Toward Value-Based Health Care
Lessons from 12 Countries

The Boston Consulting Company
June 2012

 
       
About the authors
 

Michael E. Porter is a leading authority on competitive strategy and the competitiveness of countries, regions, and cities, and the application of strategic principles to societal problems. Based at Harvard Business School, his ideas and personal leadership have influenced countless governments, companies, and scholars across the globe. Professor Porter’s thinking on strategy is taught in virtually every business school in the world, and his work on competitiveness is an integral part of modern economic development theory and practice.

Professor Porter’s work on health care dates back more than a decade. His seminal book, Redefining Health Care, has shaped the new field of value-based health care delivery. The book, together with a series of additional publications, is successfully inspiring change in health care providers and governments across the globe.

An aerospace engineering graduate of Princeton, Professor Porter has an M.B.A. from the Harvard Business School, where he was a George F. Baker Scholar, and a Ph.D. in business economics from Harvard University. He has received numerous awards and honors, including six McKinsey Awards for the best Harvard Business Review article of the year, national honors in a number of countries, and the highest award of the Academy of Management for scholarly contributions to management.

 

Clemens B. Guth is the CEO of two private hospitals owned by Artemed Kliniken, a German national hospital provider. In addition to hospital operations, he is responsible for M&A and quality management across Artemed. Previously Dr. Guth worked as a health care consultant for McKinsey & Company. His client work included studies for German hospital groups, statutory and private health plans as well as regional outpatient associations. Before joining McKinsey & Company, he started his professional career as a Junior Doctor at the Chelsea & Westminster Hospital in London.

Dr. Guth earned an M.B.B.S. from the Imperial College Medical School, London, and an M.B.A. from Harvard Business School. He was awarded honors and prizes for both degrees. He is a scholar of the German National Academic Foundation and the German Academic Exchange Service program. For several years, Dr. Guth has published scholarly contributions on health care subjects.

 
       
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