Dr. Paul M. Ellwood Jr., Architect of HMO, has died aged 95

In the 1960s, while still working for the American Foundation for Rehabilitation, Dr. Ellwood founded a health policy research group called Interstudy, which explored ways of applying management techniques. business to improve health care and cut costs. It founded the HMO that years later became United Health Group, now one of the nation’s largest medical companies.

In the early 1970s, Dr. Ellwood, giving up his medical career, moved to Wyoming, got into real estate, and founded the Jackson Hole Group – a group of doctors, economists, academics, and medical professionals. Scholars and policymakers have met periodically at his home for decades. talk about new health care strategies.

The group produced many reports, but most notably the one used by Bill Clinton during his 1992 presidential campaign, when he pledged to reform the health care system at the expense of absconding. and millions of people are uninsured. After Mr. Clinton’s election, Dr. Ellwood, economist Alain C. Enthoven and others laid out the blueprint for the administration’s proposed “competitive” healthcare reform.

It will force businesses and individuals into cooperatives to buy insurance from competing doctor, hospital and business partnerships, and it will cover almost all uninsured Americans. The plan, led by Hillary Clinton, failed in 1994, but Dr Ellwood and his colleagues later separated themselves from the plan due to conflict over the level of regulation it would impose.

Dr. Ellwood, who lives in Bellingham, north of Seattle, retired as president of the Jackson Hole Group in 2002. He and his first wife, Elizabeth Ann (Schwenk) Ellwood, have 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. Ellwood is survived by his three children and five grandchildren.

In the years that followed, he championed what he called “outcomes management” — a national database to show how patients’ treatment actually went. Without such measures, healthcare providers and policymakers have no way of knowing if care has been compromised to cut costs, he argues. or not and there is no way to evaluate reform proposals.

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