Health care Dominant model until growth of Much recent history recently, now under administrative control experimentation, little pressure from specialization mechanisms (insurance, clarity of vision or practice and cost increases HMOs, etc) from 1980s, has not displaced craft organization at patient interface Table 2: Distribution of cases (pseudonyms are used throughout for the hospitals) payer mix payer mix “rich” “poor” High performing Hightown United Low performing
Health care history Dominant model until recently, now under pressure from specialization and cost increases growth of administrative control mechanisms (insurance, HMOs, etc) from 1980s, has not displaced craft organization at patient interface Much recent experimentation, little clarity of vision or practice Table 2: Distribution of cases (pseudonyms are used throughout for the hospitals) “rich” payer mix “poor” payer mix High performing Hightown United Low performing
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