Jump to ContentJump to Main Navigation
The Fragmentation of U.S. Health CareCauses and Solutions$
Users without a subscription are not able to see the full content.

Einer Elhauge

Print publication date: 2010

Print ISBN-13: 9780195390131

Published to Oxford Scholarship Online: May 2010

DOI: 10.1093/acprof:oso/9780195390131.001.0001

Show Summary Details
Page of

PRINTED FROM OXFORD SCHOLARSHIP ONLINE (www.oxfordscholarship.com). (c) Copyright Oxford University Press, 2019. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 14 October 2019

Health Care Fragmentation

Health Care Fragmentation

We Get What We Pay for

(p.21) 2 Health Care Fragmentation
The Fragmentation of U.S. Health Care

David A. Hyman

Oxford University Press

The way in which health care providers are paid is an important cause of delivery-side fragmentation. The current encounter-based, primarily fee-for-service payment system has a distinct tendency to reward unbundling and inefficiency. Even under the best of circumstances, the current payment system does not create systematic incentives to deliver efficient high quality care. This chapter argues that reform of the payment system should be high on the list of priorities if we want to address health care fragmentation. Yet, attempts to reform the payment system will create numerous opportunities for those who profit from the status quo to engage in symbolic blackmail. Furthermore, it remains to be seen how much fragmentation consumers actually want; the preferences of reformers may well differ from that of consumers. Aspiring reformers should be aware of these risks and frame their efforts accordingly.

Keywords:   incentives, payment, fragmentation, preferences, reform

Oxford Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.

Please, subscribe or login to access full text content.

If you think you should have access to this title, please contact your librarian.

To troubleshoot, please check our FAQs , and if you can't find the answer there, please contact us .