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Sunday, September 10, 2006
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P4P In The U.K.

German Health Insurance


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New postings and analysis from Health Affairs, the leading journal of health policy. Health Affairs publishes new research each week online at For more information, contact Chris Fleming at 301-347-3944.

September/October Health Affairs To Focus On Biotech Issues
Available September 12 at

The September/October Health Affairs, to be released September 12, focuses on the policy issues surrounding biotechnology. These issues are taking on increasing importance as biotech company pipelines surge and products are approved by the Food and Drug Administration.

Health Affairs is cosponsoring an audioconference with Avalere Health that will feature authors of two articles from the September/October issue. The conference, which will take place on Sept. 14, from 1:00 PM to 2:30 PM EDT, is titled "Paying for Emerging Therapies: New Trends in How Public and Private Payers Make Coverage Decisions." Register at

Print editions of Health Affairs may be ordered for $35 each from Health Affairs' Customer Service at 301-347-3900 or online at

Under British Pay-For-Performance Plan, Quality Is High, But So Are Payments

The first results from the world's most ambitious pay-for-performance (P4P) scheme, the United Kingdom's Quality and Outcomes Framework (QOF) for general practitioners (GPs), are the focus of Robert Galvin's interview with leading U.K. health services researcher Martin Roland, published Sept. 5 on the Health Affairs Web site.

The good news: Performance by the U.K.'s general practitioners was far better than expected. The bad news: Performance by the U.K.'s general practitioners was far better than expected -- and the UK's local health authorities had to pay for all that good performance.

Labor Market Trends Stress Germany's Health Insurance System
Available September 12 at

Germany's social health insurance system (SHI), like America's, is based on the assumption that most people will have access to health care through their employment, Stephanie Stock and coauthors say in the July/August Health Affairs. However, since the 1970s, a shift in the German economy from manufacturing to services has helped push increasing numbers of Germans outside the traditional labor market and outside the statutory SHI system. These trends and other challenges such as reunification and demographic change have created a need for reform. Stock and coauthors suggest that Germany's deadlocked Social Democrats and Christian Democrats may compromise by maintaining wage-related SHI contribution rates while also levying contributions on other forms of income and introducing an additional per-person per-month flat-rate contribution.


Health Affairs, published by Project HOPE, is the leading journal of health policy. The peer-reviewed journal appears bimonthly in print, with additional online-only papers published weekly as Health Affairs Web Exclusives at The full text of each Health Affairs Web Exclusive is available free of charge to all Web site visitors for a two-week period following posting, after which it switches to pay-per-view for nonsubscribers. The abstracts of all articles are free in perpetuity. Web Exclusives are supported in part by a grant from the Commonwealth Fund.


Subscribe today for full online access to Health Affairs--"the bible of health policy" (Washington Post, January 12, 2005).


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