Innovation under federal health care reform

J. E. Sisk, S. A. Glied

Research output: Contribution to journalReview articlepeer-review


Health care reform, which seeks to expand coverage and control spending, contains mixed messages for innovators. Policies that advance reform goals are likely to shift resources away from hospitals, specialists, and expensive procedures and toward areas such as prevention and primary care where innovation may yield greater health improvements per dollar spent. The size of these effects depends critically on the extent of cost containment achieved. Constraining spending will be politically difficult because it requires that consumers forgo some possible health benefits in return for lower costs. In a climate of cost containment, systematic evaluation of new technology is vital to identify and expand coverage to worthwhile innovations and to assure a fair hearing for innovators.

Original languageEnglish (US)
Pages (from-to)82-97
Number of pages16
JournalHealth Affairs
Issue number3
StatePublished - 1994

ASJC Scopus subject areas

  • Health Policy


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