Health-care reforms in the USA and England: areas for useful learning

Two landmark and controversial bills reforming health care in the USA and England were recently passed. Despite the different history and context to health care in both countries, there is much room for mutual learning. This paper identifies three areas relating to financing, organisation, and information technology. For example, new payment mechanisms to encourage higher quality and efficiency are being developed and tested, particularly bundled payments, pay for performance, and value-based purchasing. In the USA, new national bodies to scrutinise payments in health care and to test promising new interventions to improve quality and efficiency will have lessons for the NHS. The faster adoption of electronic health records and their use in England to assess quality is a useful lesson for the USA. The new accountable care organisations and clinical commissioning groups have much to learn from each other as they develop.

[1]  Benjamin Washington,et al.  Growth in US health spending remained slow in 2010; health share of gross domestic product was unchanged from 2009. , 2012, Health affairs.

[2]  C. Schoen,et al.  New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordinated. , 2011, Health affairs.

[3]  Mark McClellan,et al.  A national strategy to put accountable care into practice. , 2010, Health affairs.

[4]  Brendan A. Rapple.  Payment by Results , 1994 .

[5]  Evangelos Kontopantelis,et al.  Pay-for-performance programs in family practices in the United Kingdom. , 2006, The New England journal of medicine.

[6]  Colin R Simpson,et al.  The effect of the UK incentive-based contract on the management of patients with coronary heart disease in primary care. , 2007, Family practice.

[7]  H. Aaron.  The Independent Payment Advisory Board--Congress's "good deed". , 2011, The New England journal of medicine.

[8]  C. Simon.  Overview of the GP Contract , 2008 .

[9]  David Cutler,et al.  Analysis & commentary. How health care reform must bend the cost curve. , 2010, Health affairs.

[10]  G. Rayman,et al.  The crisis in diabetes care in England , 2012, BMJ : British Medical Journal.

[11]  D. Safran,et al.  Private-payer innovation in Massachusetts: the 'alternative quality contract'. , 2011, Health affairs.

[12]  G. Wilensky.  Lessons from the Physician Group Practice Demonstration--a sobering reflection. , 2011, The New England journal of medicine.

[13]  N. Black.  Declining health-care productivity in England: the making of a myth , 2012, The Lancet.

[14]  Paul Zollinger-Read,et al.  What are the lessons from the USA for clinical commissioning groups in the English National Health Service? , 2012, The Lancet.

[15]  Andrew Briggs,et al.  Value based pricing for NHS drugs: an opportunity not to be missed? , 2008, BMJ : British Medical Journal.