A three-point plan to fix health care in the U.S.

   < < Go Back

By Becky Quick,

from Fortune Magazine,

As debate rages about the troubles millions are having in trying to sign up for health insurance through the government website, a bigger ailment is occupying the mind of Mark Bertolini. The chairman, CEO, and president of insurance giant Aetna, Bertolini is focused on a longer-term problem: how to treat the nation’s ballooning health care costs, which rose to a staggering $2.7 trillion last year.

Bertolini has a seat on the frontlines of the debate. Aetna insures about 44 million Americans. But he isn’t just a technocrat. He’s also had more than his share of firsthand experiences with the medical system, with his son, Eric.

He has a simple three-point plan to heal our ailing health care system.

>ELIMINATE FEE FOR SERVICE. His first priority is to change the way we pay for care. Instead of fee for service, hospitals and doctors should be paid for a good outcome.

>FOCUS ON HEAVY USERS. 5% of Medicare patients are responsible for 43% of the $550 billion spent on the program. To find big savings, you have to target where the money is being spent.

>RESTRUCTURE THE DELIVERY SYSTEM. Send all the hearts to Cleveland Clinic. Send all the cancers to Memorial Sloan-Kettering. Laying out a plan to develop regional centers of excellence around the country.

More From CNN/Money (subscription required):