Lessons From Other
Countries and ACP
Redesigning The U.S.
Health Care System
Well-functioning health systems all
guarantee that all residents will have
access to affordable health coverage
for a defined set of benefits.
Countries that have federal systems in
which national and regional governments
The best systems ensure access to
health care without financial barriers.
Incentives to encourage personal
responsibility for health can lead to
healthy behaviors, improved health
outcomes, and responsible utilization
of health care services.
Societal investment in health professional
Investment in primary and preventive care
can result in better health outcomes, reduce
costs, and may better assure an adequate
supply of primary care physicians.
Effective physician payment systems
include adequate payment for primary
care services, incentives for quality
improvement and reporting,
recognizing geographic or local
payment differences, and incentives
for care coordination.
Performance measures, financial
incentives, and active monitoring of
performance are key elements of
health systems that provide high-
Adoption of a uniform billing system
and electronic processing of claims
improves efficiency and reduces
Insufficient investments in research
and medical technology result in
reliance on outdated technologies and
medical equipment, and delay
patients’ access to advances in