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

Jun 21, 2022
Dr. Paul M. Ellwood Jr., Architect of the H.M.O., Is Dead at 95

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

The group produced many reviews, however its most notable was utilized by Invoice Clinton in his 1992 presidential marketing campaign, when he pledged to reform a well being care system of runaway prices and uninsured thousands and 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 will have banded companies and people into cooperatives to purchase insurance coverage from partnerships of medical doctors, hospitals and insurers competing for the enterprise, and it could have lined nearly all uninsured People. 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 concerning the ranges of regulation it could have imposed.

Dr. Ellwood, who lived in Bellingham, north of Seattle, retired as president of the Jackson Gap 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. Along with his spouse, Dr. Ellwood is survived by his three kids and 5 grandchildren.

In later years he championed what he known as “outcomes administration” — a nationwide database to point out how the therapy of sufferers really works out. With out such measures, he argued, well being care suppliers and policymakers had no approach of figuring out whether or not care was being compromised to chop prices, and no technique to consider proposals for reforms.

Dr. Ellwood usually favored President Barack Obama’s Inexpensive Care Act, though he fearful that it included among the “deadly weaknesses” of H.M.O.s, as he put it in a 2010 interview with Dr. Anthony R. Kovner, and that its implementation would face “formidable limitations — too many choices and loopholes, and a vastly extra savvy and aggressive medical-industrial advanced.”

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Supply- nytimes