Dr. Paul M. Ellwood Jr., Architect of the H.M.O., Is Dead at 95

 

In the Sixties, whereas nonetheless working for the American Rehabilitation Foundation, Dr. Ellwood shaped a well being coverage analysis group referred to as Interstudy, which explored methods to use enterprise administration methods to enhance well being care and minimize prices. It arrange an H.M.O. that years later grew to become United Health Group, now one of the nation’s largest well being firms.

In the early Seventies, Dr. Ellwood, having given up his medical profession, moved to Wyoming, bought into actual property and based the Jackson Hole Group — a cohort of docs, economists, lecturers and policymakers who met at his dwelling periodically for many years to speak about new well being care methods.

The group produced many experiences, however its most notable was utilized by Bill Clinton in his 1992 presidential marketing campaign, when he pledged to reform a well being care system of runaway prices and uninsured hundreds of thousands. After Mr. Clinton’s election, Dr. Ellwood, the economist Alain C. Enthoven and others devised the blueprint for the administration’s “managed competitors” well being reform proposal.

It would have banded companies and people into cooperatives to purchase insurance coverage from partnerships of docs, hospitals and insurers competing for the enterprise, and it could have coated virtually all uninsured Americans. The plan, shepherded by Hillary Clinton, failed in 1994, however by then Dr. Ellwood and his colleagues had distanced themselves from the plan over conflicts about the ranges of regulation it could have imposed.

Dr. Ellwood, who lived in Bellingham, north of Seattle, retired as president of the Jackson Hole Group in 2002. He and his first spouse, Elizabeth Ann (Schwenk) Ellwood, had three kids, Deborah, Cynthia and David. They divorced in 1990 and Elizabeth Ann later died. In 2000, he married Barbara Winch. In addition to his spouse, Dr. Ellwood is survived by his three kids and 5 grandchildren.

In later years he championed what he referred to as “outcomes administration” — a nationwide database to indicate how the remedy of sufferers truly works out. Without such measures, he argued, well being care suppliers and policymakers had no manner of understanding whether or not care was being compromised to chop prices, and no strategy to consider proposals for reforms.


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