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

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

The group produced many studies, 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 tens of millions. 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 docs, 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 youngsters, 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 youngsters and 5 grandchildren.

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

Dr. Ellwood typically favored President Barack Obama’s Inexpensive Care Act, though he apprehensive that it included a few of 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 obstacles — too many choices and loopholes, and a vastly extra savvy and aggressive medical-industrial advanced.”

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