William H. Shrank (
Nancy-Ann DeParle is a managing partner and cofounder of Consonance Capital Partners, in New York, New York.
Health Aff (Millwood). 2021 Feb;40(2):235-242. doi: 10.1377/hlthaff.2020.01560. Epub 2021 Jan 21.
It is likely that 2021 will be a dynamic year for US health care policy. There is pressing need and opportunity for health reform that helps achieve better access, affordability, and equity. In this commentary, which is part of the National Academy of Medicine's Vital Directions for Health and Health Care: Priorities for 2021 initiative, we draw on our collective backgrounds in health financing, delivery, and innovation to offer consensus-based policy recommendations focused on health costs and financing. We organize our recommendations around five policy priorities: expanding insurance coverage, accelerating the transition to value-based care, advancing home-based care, improving the affordability of drugs and other therapeutics, and developing a high-value workforce. Within each priority we provide recommendations for key elected officials and political appointees that could be used as starting points for evidence-based policy making that supports a more effective, efficient, and equitable health system in the US.
2021 年可能将是美国医疗政策充满活力的一年。迫切需要和机会通过医疗改革来帮助实现更好的可及性、可负担性和公平性。在这项评论中，我们借鉴了在健康融资、服务和创新方面的集体背景，提供了基于共识的政策建议，重点关注健康成本和融资。我们围绕五项政策重点组织了我们的建议：扩大保险覆盖范围、加速向基于价值的护理转型、推进居家护理、提高药品和其他疗法的可负担性以及培养高价值的劳动力。在每个重点领域，我们都为主要当选官员和政治任命人员提供了建议，这些建议可作为循证政策制定的起点，以支持美国建立一个更有效、更高效和更公平的卫生系统。
