4 ms·
Yes, the structural change is "make individuals be on a hook for overpayments"
by notyourday 8y ago
Yes, the structural change is "make individuals be on a hook for overpayments"
- dredmorbius 8y agoActually, the best cost-containment strategy is to make the provider liable. That's the notion behind comprehensive HMO systems, with fixed capitated premiums, minimal copayments (a very low friction suffices against most frivolous use0, penalties for failed delivery (see also the Chinese doctor model: the patient pays when healthy), comprehensive monitoring and routinisation, a public health model, and som external oversight. Within the US, that model describes the Kaiser Permanente healthcare model. Or Medicare I'd add a Danish malpractice remedy to that (provision of care to correct or mitigate mis-delivery or errors), but it's remarkably effective. Pharmaceuticals remain outside the Kaiser and Medicare systems, a chief weakness. There's also the fact that virtually all improvements over pre-modern longevity come from public health rather than acute medical interventions. http://1.bp.blogspot.com/-uTWEATUzgxk/TXQoTibILtI/AAAAAAAAAAM/eyirotYDmXo/s1600/2004_01_healthstat.jpg http://1.bp.blogspot.com/-uTWEATUzgxk/TXQoTibILtI/AAAAAAAAAA...