ST Alpha - "I don't think it's a matter of increasing competition. It's about moving from fee-for-service to fee-for-outcome. -- nm" (Reading a Post)

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In response to "[shrug] Hospitals compete for business. Insurance companies have preferred providers. There's *some* competition built into the system already. " by Dr.Vermin is jejune and vituperative.

I don't think it's a matter of increasing competition. It's about moving from fee-for-service to fee-for-outcome. -- nm

Posted by Roger More (aka RogerMore) Jun 28 '12, 12:06

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Responses:

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

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