Toward a 21st Century Health System: The Contributions and Promise of Prepaid Group Practice

Toward a 21st Century Health System: The Contributions and Promise of Prepaid Group Practice

By Alain C. Enthoven, Laura A. Tollen
Jossey-Bass, March 22, 2004

Toward a 21st Century Health System is a collection of essays that explore a key element of the health care delivery system – large multispecialty physician group practices. Edited by policy experts Alain Enthoven and Laura Tollen, and written by a panel of health policy scholars and leaders including Stephen Shortell, Hal Luft, Donald Berwick, James Robinson, and Helen Darling, this resource addresses a variety of topics, including:

  • organized delivery systems
  • quality of care in prepaid group practice versus other types of managed care
  • the role of physician leadership and culture in group practice
  • prepaid group practice and the formation of national health policy

The book also covers such topics as pharmacy benefit management, technology assessment, health services research, and employer purchasing of benefits, all as they relate to prepaid group practice.

Selected Editorial Reviews
Several of the chapters are excellent analyses of how the PGP model is responsive to current policy and delivery concerns.
JAMA, 11/24/2004
This book should be required reading for every physician in the United States.
Health Affairs, Vol 23, No 4, July/August 2004
A brief review cannot do justice to the range of issues explored in this volume… Toward a 21st Century Health System repays careful study.
Health Service Journal, April 2004
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