Vermont Health System Reform

Our research group has been selected by Vermont’s Health Care Reform Commission to design three health system reform options that achieve affordable universal health coverage. Professor Hsiao’s team will consider a government-run single payer system, a “public option” plan competing with private insurance plans, and another option with much design flexibility given to the research team. The study will design affordable and equitable benefits packages, propose innovative payment methods that align provider incentives with high-value health care delivery, and recommend financing streams that achieve the optimal trade-off between equity and economic efficiency. Our team will also pay considerable attention to the institutional, political, and implementation constraints embedded in Vermont’s current system in order to ensure the viability of reform. Ultimately, policy makers will be equipped with a thorough comparative analysis of the costs and benefits of each option, which will allow them to make decisions based on the best available evidence.  [visit the Vermont project’s page]

National Health Systems

William Hsiao and his collaborators have developed a systemic framework to understand national health systems and evaluate health care reforms. Using this comprehensive theoretical foundation, Dr. Hsiao has assisted several countries around the world, including Taiwan, Cyprus, Mexico, Colombia, China, and Sweden in their health system reforms. This section of the website has more information about the framework, and links to publications about health systems. [visit the Health Systems site]

Rural Mutual Health Care

The Rural Mutual Health Care (RMHC) project seeks to find a sustainable solution to the problem of how to finance and provide health care for the more than two-billion peasants around the world. The RMHC researchers designed and study an intervention in communities in the Guizhou and Shaanxi provinces that involve 60,000 Chinese peasants. This experiment has demonstrated that when carefully designed, community financing can be sustainable, can increase efficiency and quality in health care delivery, and can drastically enhance risk protection for the rural poor. [visit the RMHC page]

Enhancing TB control by Removing Health System Barriers

With grant support from The Bill and Melinda Gates Foundation, this project based in Ningxia province, China, seeks to demonstrate how to enhance the effectiveness and efficiency of TB control by removing health system barriers and to design a new long-term equitable and sustainable model for TB control. The main tools to achieve these goals are restructuring providers’ incentives, eliminating patients’ financial barriers for seeking TB treatment, and educating patients, providers, and communities on the proper diagnosis, treatment, and prevention of TB. [visit the project page]

Economic, Social and Cultural Determinants of Health and Well-being

The objective of this research area is to discover how economic, social and cultural changes brought about by China’s economic transition affects the health and well-being/happiness of the Chinese population. Specific studies include the impact of migration on the left-behind population, and changes in social capital, network, relative social position and their effects on health and well-being. The projects adopt a longitudinal study design and inter-disciplinary approach integrating economics, psychology, sociology and anthropology. [visit the project’s page]

Evaluation of Taiwan’s National Health Insurance

Starting with a dramatic reform in 1995 Taiwan achieved universal health insurance. Objectives of this project are to evaluate performance of Taiwan ‘s National Health Insurance System to examine how universal health insurance affects both the level and distribution of health status, financial risk protection and public satisfaction of the people. This project is a collaboration between the HSPH Program in Health Care Financing, the Bureau of National Health Insurance (BNHI), the National Health Research Institution of Taiwan (NHRI), and adjunct researchers who currently hold faculty positions in leading University’s in Taiwan. In addition to research, the project also aims to build up Taiwanese research capacity in Health System Studies. [visit the Taiwan project’s page]