Briefing Detail Page
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 The Role of Independent Commissions in Controlling Costs and Enhancing Value: International Lessons
Friday, November 06, 2009
The experience of other countries may help inform the debate as U. S. policymakers grapple with health reform and the regulatory mechanisms needed to contain costs while improving quality, efficiency and coverage.
This briefing, cosponsored by The Commonwealth Fund, examined the quasi-governmental authorities that Germany, the Netherlands and France have established. Operating within broad legislative frameworks and with relative independence from their respective health ministries, these entities aim to control costs, oversee quality, regulate insurance and provider payment, and ensure competition.
Each of the structures in these countries differs in advisory or regulatory authority, and in public/private status. Yet they share the common element of evidence-based and transparent decision-making that is at arms length from the political process.
How and why have these quasi-governmental authorities come into being? What is their scope of power, and the mechanism they provide for bringing stakeholders together in health care decision making? What are the respective roles of government and the private market? How successful are these entities in achieving their purposes? How useful are lessons from abroad to our efforts to improve efficiency and quality of health care in the United States?
| Speakers |
 Ed Howard, Alliance for Health Reform, Moderator
Robin Osborn, The Commonwealth Fund, Moderator
John Rother, AARP, Speaker
Cathy Van Beek, Dutch Healthcare Authority, Speaker
Dominique Polton, Caisse Nationale de l'Assurance Maladie des Travailleurs Salaries, Speaker
Karl Lauterbach, German Parliament, University of Cologne, Speaker
(Click on the camera icon to see a video of the speaker's presentation.) |
| Transcript, Event Summary and/or Webcast and Podcast |
Transcript: Transcript (Adobe Acrobat PDF), 11/6/2009
Event Summary: Event Summary (Adobe Acrobat PDF), 11/6/2009
Full Webcast/Podcast: The Role of Independent Commissions in Controlling Costs and Enhancing Value: Int'l Lessons
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| The full webcast and podcast for this briefing, as well as videos of individual speakers' presentations, are provided by Kaiser Family Foundation.
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| Speaker Presentations |
Karl Lauterbach Presentation (Adobe Acrobat PDF), 11/6/2009
Dominique Polton Presentation (Adobe Acrobat PDF), 11/6/2009
Cathy van Beek Presentation (Adobe Acrobat PDF), 11/6/2009
(If you want to download one or more slides from these presentations, contact us at info@allhealth or click here for instructions.)
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| Source Materials |
Agenda (Adobe Acrobat PDF), Alliance for Health Reform, 11/6/2009
Speaker Biographies (Adobe Acrobat PDF), Alliance for Health Reform, 11/6/2009
Source List (Adobe Acrobat PDF), Alliance for Health Reform, 11/6/2009
Event Summary (Adobe Acrobat PDF), Alliance for Health Reform, 11/6/2009
Descriptions of Health Care Systems: France, Germany, and the Netherlands (Adobe Acrobat PDF), The Commonwealth Fund, 11/6/2009
Dutch-German Multi-Payer System Comparison (Adobe Acrobat PDF), The Commonwealth Fund, 11/6/2009
Multinational Comparisons of Health Systems Data (Adobe Acrobat PDF), The Commonwealth Fund, 11/6/2009
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| Offsite Materials (briefing documents saved on other websites) |
Global Health System Roadmap: Germany, International Society for Pharmacoeconomics and Outcomes Research, 6/6/2009
Global Health System Roadmap: France, International Society for Pharmacoeconomics and Outcomes Research, 10/10/2009
Global Health System Roadmap: Netherlands, International Society for Pharmacoeconomics and Outcomes Research, 12/12/2007
Mission Medicare, Modern Healthcare, 11/1/2009
Is the NHS properly regulated?, BBC News, 10/15/2009
Medicare Commission Proposal And MedPAC Data Shape Reform, Kaiser Health News, 9/29/2009
Medicare Governance And Provider Payment Policy , Health Affairs, 10/2/2009
Institute for Quality and Efficiency in Health Care: Germany (Adobe Acrobat PDF),The Commonwealth Fund, 7/3/2009
National Authority for Health: France (Adobe Acrobat PDF),The Commonwealth Fund, 7/15/2009
A Survey Of Primary Care Physicians In Eleven Countries, 2009, The Commonwealth Fund, 11/5/2009
In Chronic Condition: Experiences Of Patients With Complex Health Care Needs, The Commonwealth Fund, 11/13/2009
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John Rother, executive vice president of policy and strategy for AARP, discusses the possible role of a new Medicare commission compared to independent commissions in Germany, France and the Netherlands. From the Nov. 6 briefing cosponsored by The Commonwealth Fund. |
Karl Lauterbach of the University of Cologne, also a member of the German parliament, describes the basics of the German health care system and the role of independent commissions there involved in quality, coverage and pricing decisions. From the Nov. 6 briefing cosponsored by The Commonwealth Fund. |
Cathy van Beek, acting chair of the Dutch Healthcare Authority, describes the basics of the Dutch health care system and the role of health system regulators in that country. From the Nov. 6 briefing cosponsored by The Commonwealth Fund. |
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