Lawrence Shapiro, MD, is a board-certified physician with a specialty in pulmonary medicine. For the last twenty years, he has been enmeshed in the healthcare system known as Managed Care. As a result of these experiences with physicians, medical groups, hospitals and health plans, he initiated the Variation Reduction Process at the Palo Alto Medical Foundation, which has reduced the cost of healthcare while increasing quality.
"A seminal resource at a critical time! Dr. Shapiro unveils the complex relationships between stakeholders in the changing healthcare environment in America, demystifying the thought processes and motivations of doctors, insurers and patients, alike. Through fascinating examples from his team's work, Dr. Shapiro outlines successful measures to effect maximum value (quality/cost), detailing a robust process for physician-led, data-driven standard development, supporting affordable and regionally appropriate care of the highest quality." Erica Weirich, MDDirector, Global Health Research Foundation Adjunct Clinical Assistant Professor of Medicine Stanford University School of Medicine "In his new book, Quality Care, Affordable Care, Dr. Shapiro provides a novel solution to bending the cost curve and improving patient outcomes, a physician's perspective and recipe for success in an increasingly value conscious health care market. The book provides much needed fresh insight that takes the mystery out of medical cost reduction through a practical program of variation reduction - and puts the solution back in the hands of physicians. As an experienced physician and health care administrator, Shapiro provides his proven formula for eliminating unnecessary, costly and potentially risky medical care while providing greater value to the patient through improved outcomes." Karl G. Sylvester, MDAssociate Professor of Surgery and PediatricsExecutive Director, Center for Fetal and Maternal Health Lucile Packard Children's HospitalStanford University School of Medicine "Formal guidelines are applicable to only a small fraction of clinical practice. Dr. Shapiro engagingly shows how groups of physicians asking questions about variations in their own practices can develop, and then adhere to, their own guidelines. Creating such learning healthcare systems is the best way to increase value in health care."Harold S. Luft, PhDCaldwell B. Esselstyn Professor Emeritus of Health Policy and Health Economics University of California, San Francisco
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