Alain C. Enthoven (born September 10, 1930) is an American economist. Professor Alain Enthoven has published widely in the fields of the economics, organization, management and public policy of health care in the U.S.A. and U.K. In his research, he studies the causes of unsustainable growth in national health expenditures and the costs of health insurance, and possible strategies for moderating this growth while improving quality of care. His recent work is focused on the failings of employment-based health insurance and on proposals for market-based universal health insurance in the U.S.A.
Professor Enthoven holds degrees in Economics from Stanford, Oxford, and Massachusetts Institute of Technology (MIT) . He began his teaching career in 1955 while an Instructor in Economics at Massachusetts Institute of Technology (MIT). In 1956, he moved to the RAND Corporation (Research ANd Development Corporation) in Santa Monica and participated in continuing studies on U.S. and NATO defense strategies. In 1960, he moved to the Department of Defense, where he held several positions leading to appointment, by President Johnson, to the position of Assistant Secretary of Defense for Systems Analysis in 1965. His work there is described in the book How Much is Enough? coauthored with K. Wayne Smith and published by the RAND Corporation. In 1963, he received the President’s Award for Distinguished Federal Civilian Service from John F.Kennedy. In 1969, he became vice president for Economic Planning for Litton Industries, and in 1971 he became president of Litton Medical Products. In 1972, he was elected to the Institute of Medicine of the National Academy of Sciences and served on its governing Council. He joined the Stanford Faculty in 1973, and began teaching Business Policy and, later, Microeconomics. In 1977, while serving as a consultant to the administration of President Carter, he designed and proposed Consumer Choice Health Plan, a plan for universal health insurance based on managed competition in the private sector. Since 1980, his teaching has been focused on health care.
Professor Enthoven is a fellow of the American Academy of Arts and Sciences. He is Chairman of Stanford’s Committee on Faculty/Staff Human Resources. He has been a consultant to the Kaiser Permanente Medical Care Program since 1973. He has served as Chariman of the Health Benefits Advisory Council for CalPERS, the California State employees’ medical and hospital care plans. He has been a director of the Jackson Hole Group, PCS, Caresoft Inc. and eBenX, Inc. He is a member of the research advisory board of the Committee for Economic Development. He was the 1994 winner of the Baxter Prize for Health Services Research and the 1995 winner of the Board of Directors Award of the Healthcare Financial Management Association. In 2008, he was awarded the honorary degree of Doctor of Public Policy by the RAND Graduate School.
In 1997, Governor Wilson appointed him Chairman of the California Managed Health Care Improvement Task Force. Commissioned by the State legislature, the Task Force addressed healthcare issues raised by managed care. In 1998-99, he was the Rock Carling Fellow of the Nuffield Trust in London and also Visiting Professor at the London School of Hygene and Tropical Medicine, and Visiting Fellow at New College, Oxford. He wrote the Rock Carling Lecture In Pursuit of an Improving National Health Service, recommending further introduction of market forces in the National Health Service. He and Laura Tollen recently edited the book Toward a 21st Century Health System: The Contributions and Promise of Prepaid Group Practice. From 2005-2007 he served as project director for the CED and project director of the CED and report Quality, Affordable Healthcare for All: Moving Beyond the Employer-Based Health Insurance System, published in 2007.
Currently he is Marriner S. Eccles Professor of Public and Private Management, Emeritus, at Stanford Graduate School of Business.
Dr. Public Policy (Hon), RAND Graduate School, 2008; PhD, M.I.T., 1956; MPhil, Oxford University, 1954; BA, Stanford University, 1952.
At Stanford since 1973.
- Chairman of Stanford Committee on Faculty/Staff Human Resources, 2004-Present;
- Rock Carling Fellow, Nuffield Trust, London, 1999;
- Visiting Professor, London School of Hygiene and Tropical Medicine 1998-99;
- Visiting Professor, University of Paris, and Visiting Fellow, St. Catherine’s College, Oxford University, Spring 1985;
- President, Litton Medical Products, 1971-73;
- Vice President for Economic Planning, Litton Industries, 1969-71;
- Assistant Secretary of Defense for Systems Analysis, 1965-69;
- Deputy Comptroller and Deputy Assistant Secretary of Defense, U.S. Department of Defense, 1961-65;
- Instructor, M.I.T., 1955-56;
- Economist, RAND Corp., 1956-60.
- ‘Redefining Health Care’: Medical Homes or Archipelagos to Navigate?, with S. Shortell and F.J. Crossen: Health Affairs, 2007
- Competition in Health Care: It takes Systems to Pursue Quality and Efficiency, with Laura Tollen: Health Affairs, 2005
- Toward a 21st Century Health System: The Contributions and Promise of Prepaid Group Practice, Jossey-Bass, 2004
- Managed Competition: History and Principles: Health Affairs, supplement 24-48, 1993
- Employment-Based Health Insurance is Failing: Now What?: Health Affairs, Web Exclusives, 2003
- 1023: A Consumer Choice Health Plan For The 1990s: Cost And Budget Estimates And Supporting Detail
- 1292: Health Plan Purchasing Cooperatives (HPPCs) and Reform of The Small Group Health Insurance Market
- 1411: Reforming Medicare Before It’s Too Late
- 751: Will the Prospective Payment System Solve Medicare’s Financial Problem?
Awards and Honors
- Director’s Award, 1995, Health Care Financial Management Association
- Winner of the Baxter Prize for Health Services Research, 1994
- Clifton Latiolais Honor Medal, 1994
- President’s John F. Kennedy Award for Distinguished Federal Civilian Service, 1963, U.S. Federal Government
- Advisory Board: External Health, 2007-present
- Board of Directors: Caresoft Inc. (1998 – 2001)
- Board of Directors: Integrated Healthcare Association
- Board of Directors: PCS Inc., 1986-90; Jackson Hole Group, 1992-98
- Consultant: Kaiser Foundation Health Plan, 1973- present
- 07/2001 Stanford Health Policy Experts Offer New Health Insurance Proposal
- 11/2000 The Chronic Search for A Health Care Cure
- 11/1999 Managed Care: What Went Wrong? Can It Be Fixed?
- 06/1997 Alain Enthoven named to California’s Managed Health Care Improvement Task Force
- 03/1997 Managed Care for Medicare
In the News
- 04/2003 Cutting-edge Health Care Lagging, The Argus
- 01/2002 Group Promotes Its Health Agenda, Los Angeles Times
- 12/2001 Aetna Plans to Cut 6,000 More Jobs, Los Angeles Times
- 11/2001 Fewer Choices for Workers on Benefits, New York Times
- 06/2000 Pitching Health Care for All Kids, San Jose Mercury
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