From the field: State health system performance and state health reform

Karen Davis, Cathy Schoen

Research output: Contribution to journalShort surveypeer-review

5 Scopus citations


State policy officials are focusing on improving health insurance coverage, but other important dimensions of performance, including quality and cost, are receiving less attention. This paper explores the implications of new data on state personal health spending, quality, and health system performance. Personal health spending is not related to mortality or quality, but Medicare spending is closely linked to preventable hospitalization. States need to link improved insurance coverage with policy strategies to improve quality and efficiency-such as requiring those covered to designate a medical home and changing payment methods to reward care coordination and more prudent stewardship of resources.

Original languageEnglish (US)
Pages (from-to)w664-w666
JournalHealth Affairs
Issue number6
StatePublished - Nov 2007
Externally publishedYes

ASJC Scopus subject areas

  • General Medicine


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