POLICY: Porter and Teisberg–I remain baffled

I’ve had my say about these two before (or at least about Porter’s descent into the health care quagmire). Here’s a new interview with them. They talk alot about competition and nothing about structuring incentives. They ask health plans to steer patients to high quality providers, but say that plans shouldn’t limit networks. I really think that they understand the problem but are so determined not to ape Alain Enthoven’s solution, that they just haven’t got one of their own because it’ll look too much like his! Perhaps part of the criteria for getting tenured at Harvard Business School is that you have lots of ideas about healthcare which don’t require any unifying theory.

Apparently I’m going to be sent the book, so I’ll suspend judgment till then…..

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