Trends in health policy

Health Affairs lists five key trends in health for 2015 for the United States: (1) getting data to transfer easily across providers, (2) tougher negotiations on high cost speciality drugs, (3) innovation to reduce costs and improve services for people with complex chronic conditions, (4) greater transparency on costs and performance through publication of data, and (5) a move away from fee for individual services and toward bundling services for complete episodes of care.

National trends are harder to spot in Australia, but the following are contenders: (1) shifting hospital costs to the States to force negotiation on revenue sharing options, (2) innovation in funding and organisation to reduce avoidable hospital admissions through the introduction of Primary Health Networks and reforms to Medicare funding, (3) efficiency and quality improvements in private hospitals through private health insurance funding reforms, and (4) changes to price negotiation processes to reduce the cost of the pharmaceutical benefits scheme.

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