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Improving the Health Care System: Seven State Strategies

BY JULIA C. MARTINEZ, MARTHA P. KING AND RICHARD CAUCHII ntroduction The Health system faces challenges including inefficiencies, escalating costs and variations in Health care quality, access and results. Wide agreement exists that the system needs transform-ing. A reformed system would deliver better care at lower costs without disparities from one Health organization and community to another. It would reward value before volume, quality before quantity and organized delivery over disorganized It would also focus on patient needs and safety as top Health care costs have grown faster than the overall economy for decades and continue to rise at a rapid rate after a brief slowdown during the Great Recession. Health spending comprises the largest share of the federal budget more than defense spending2 and is expected to account for 20 percent of the gross domestic product by Globally, Health spending is in a league of its own, totaling $3 trillion.

increasing childhood immunization rates; and decreasing smok-ing rates among adults. The scorecard lists Connecticut, Hawaii, Massachusetts, Minnesota, New Hampshire, Rhode Island and Vermont as making headway across most dimensions of care be-tween 2013 and 2014. It also cites states that did well in individ-ual efficiency categories.

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  States, System, Strategies, Immunization, Seven, Seven state strategies

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