Dr. Paul M. Elwood Jr., HMO architect, has died at the age of 95

In the early 1970’s, Dr. Elwood left his medical profession, moved to Wyoming, moved to real estate, and founded the Jackson Hole Group – a group of doctors, economists, academics, and policymakers who met at his home over the decades. . Talk about new healthcare strategies.

The group produced many reports, but the most notable use of it was by Bill Clinton in his 1992 presidential campaign, when he promised to reform the health care system with fugitive costs and millions of uninsured. Mr. After the election of Clinton, Dr. Elwood, economist Allen C. Anthoven and others blueprinted the administration’s “managed competition” health reform proposal.

It will combine businesses and individuals to buy insurance from a partnership of competing doctors, hospitals and insurers, and it will cover almost all uninsured Americans. The plan, led by Hillary Clinton, failed in 1994, but by then Dr. Elwood and his colleagues had distanced themselves from the plan because of conflicts with the levels of control imposed.

Dr. Elwood, who lives in Bellingham, north of Seattle, retired in 2002 as president of the Jackson Hole Group. He and his first wife, Elizabeth Ann (Shoenk), had three children, Deborah, Cynthia and David. They divorced in 1990 and Elizabeth Ann later died. In 2000, he married Barbara Winch. In addition to his wife, Dr. Elwood leaves behind three children and five grandchildren.

In later years he developed what he called “Outcome Management” – a national database to show patients how they actually work. Without such measures, he argues, there is no way to know whether healthcare providers and policymakers are carefully compromising to reduce costs, and no way to evaluate reform proposals.

Dr. Elwood was generally in favor of President Barack Obama’s Affordable Care Act, although he was concerned that it contained some “serious vulnerabilities” to the HMO, such as Dr. Anthony R. Said in a 2010 interview with Kovner and will face implementation. “Accidental barriers – many alternatives and deceptions, and a much more conscious and aggressive medical-industry complex.”

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