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HSC's New Direction | Mission and Vision...new direction hen The Robert Wood Johnson Foundation (RWJF) and Mathematica, Inc., formed
HSC in 1995, many policy and industry leaders shared a common vision of the road
ahead for health care. They saw a reliance on managed care, integrated delivery
systems and private markets as the way to contain costs and enhance quality, although
many worried about how the uninsured would fare as this experiment unfolded.
For the past six years, HSC has tracked changes in the health care system and
assessed the implications for both insured and uninsured people through site
visits and surveys, informing policy makers about how health care continues
to evolve and, in some cases, unravel. Through interviews with consumers, physicians
and leaders on the front lines of health care delivery and financing, HSC researchers
have worked to decipher the twists and turns of the health system to determine
the bottom line for patients.
RWJF was visionary in establishing an authoritative information source about
the market forces and regulatory changes transforming the nation’s health care
system. At the time, much existing information was anecdotal, dated or focused
on cutting-edge communities. Little was known about how changes in health system
organization at the market level, as well as local and national policy initiatives,
affected coverage, access to care for the uninsured, quality and costs. Policy
makers often lacked credible information, often needing to rely on research
produced by special interests or think tanks with strong ideological points
of view.
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