4sight Health October 1, 2024
The U.S. healthcare system operates in much the same way it has for the past 100 years: always hospital-centric, physician-centric, disease-centric, treatment-centric and transaction-centric. Providers deliver and receive payment for the specific treatments they administer. There is limited care coordination, little emphasis on prevention, inadequate provision of mental health services and woeful chronic disease management.
The result is an exceptionally high-cost, hierarchical and centralized delivery system with inequitable access that is riddled with perverse economic incentives and bloated administrative costs. Even worse than its financial profligacy, U.S. healthcare underperforms other national systems on broad population health metrics. Americans pay more for healthcare and die younger. Unique among high-income countries, life expectancy in the United States has actually declined over the...
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