ST Alpha - "Yes, but this is difficult. If people have to choose which tests they can get based on some limited dollars, we're back to the drawing board. LASIK " (Reading a Post)

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In response to "When I saw Steve Forbes speak up here earlier this year, he talked about this. " by Dr.Vermin is jejune and vituperative.

Yes, but this is difficult. If people have to choose which tests they can get based on some limited dollars, we're back to the drawing board. LASIK

Posted by pmb (aka pmb) Jun 28 '12, 11:58

is elective. That's why it works. But when you're talking about cancer treatments how can you make that market work the same way? That takes you to the "death panel" type discussions that were created.

Responses:

[shrug] Hospitals compete for business. Insurance companies have preferred providers. There's *some* competition built into the system already. - Dr.Vermin is jejune and vituperative. Jun 28, 12:00 10
- I don't think it's a matter of increasing competition. It's about moving from fee-for-service to fee-for-outcome. -- nm - Roger More Jun 28, 12:06 8
  - Well, I certainly defer to the actual doctor. :) -- nm - Dr.Vermin just plays one on ST Jun 28, 12:18 1
    - Are you replying to my post above? That's sort of my point. - Roger More Jun 28, 12:28
  - And this is an area to look at but also difficult. I had a long conversation with a hospital administrator/doctor who is now getting an mba and - pmb Jun 28, 12:08 5
    - Oh, it's hugely difficult. How do you change the business model of an entire industry? Particularly the healthcare industry? - Roger More Jun 28, 12:13 4
      - One thing that is massive that would help is to do better at catching fraud. The False Claims Act is creating some good incentives to go after that. -- nm - pmb Jun 28, 12:16 3
        
        Good - though from the study I've been looking at, fraud is "only" about 20% of the problem. -- (link) - Roger More Jun 28, 12:31 2
        
        20% is still a huge number. -- nm - pmb Jun 28, 12:51 1
        
        (I'll stay on B2) Agreed - that's why I put the only in quotation marks. It's a big number and it needs to be tackled, but it's not the only part of - Roger More Jun 28, 13:09
- Sure, but that's exactly why healthcare is so difficult. The market incentives don't really work. - pmb Jun 28, 12:05
Exactly. And the reason there's the drastic difference in pricing is that if United Healthcare come to your organization and says... - Jim Jun 28, 11:59

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Yes, but this is difficult. If people have to choose which tests they can get based on some limited dollars, we're back to the drawing board. LASIK

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