Toward the survival of private healthcare delivery

a major cause of the rising real cost of healthcare is the lack of coordinated management. The task of the delivery of care falls onto three autonomous systems: hospitals, physicians, and insurers. If all these entities were interdependent subsystems within an encompassing task system, the redundancies and duplications, which impair progress and efficiency, could be modified or eliminated. The establishment of internal and external feedback mechanisms, seriously lacking at present, would improve function and allow adaptation to the present accelerating changes in the healthcare environment.