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The Fragmentation of U.S. Health CareCauses and Solutions$
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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

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Organizational Fragmentation and Care Quality in the U.S. Health Care System

Organizational Fragmentation and Care Quality in the U.S. Health Care System

(p.37) 3 Organizational Fragmentation and Care Quality in the U.S. Health Care System
The Fragmentation of U.S. Health Care

Randal Cebul

James B. Rebitzer

Lowell J. Taylor

Mark Votruba

Oxford University Press

The financing and provision of health care in the United States is distributed across many distinct organizations, each with its own objectives, obligations and capabilities. These fragmented organizational structures produce disrupted relationships, inadequate information flows, and misaligned incentives that combine to degrade the quality of health care and increase costs. This chapter analyzes the causes and consequences of organizational fragmentation in the health insurance and care delivery systems. It also assesses the ability of modern information technology to mitigate the costs of fragmentation by enhancing coordination across organizations.

Keywords:   fragmentation, care coordination, administrative costs, health care quality

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