3 ms·

Looks like it's mostly an abstract of something that was published in a journal but they hint at it saying 3 scenarios: simplifying/streamlining individual plan

Looks like it's mostly an abstract of something that was published in a journal but they hint at it saying 3 scenarios: simplifying/streamlining individual plans, standardizing plans across all groups ie. more standardization, and a combination of those two things. This would lead to less complexity and administrative overhead which would lead to savings etc.

dboreham 5y ago
Or perhaps look at other western countries that don't have any of this vampire squid stuff.
- e40 5y ago
  Like Japan that has a published book which contains the prices for all procedures. https://en.wikipedia.org/wiki/Health_care_system_in_Japan#Cost https://en.wikipedia.org/wiki/Health_care_system_in_Japan#Co...
shkkmo 5y ago
I thought a major aspect was also standardizing contracts between insurers and providers.
kingsuper20 5y ago
I'm not much for the genius of government to correct things, but you really can make a strong argument for the standardization to a small number of insurance plans with stated rules, third party arbitration, etc. You would definitely see more of a free market by producing fungible products with (hopefully) a bit less obfuscation. The insurance companies would still do their best to not cover a claim of course, so this is only a partial solution. One nice side effect is that it's a small nudge in an organically 'designed' system rather than the inevitable chaos by changing the whole machine at once. If you believe in single payer healthcare, it would be easy to attach redesigns in cash inflow to a set of standardized policies. I've always admired the size of office staff in a doctor's office, no doubt mostly due to the complexity of the cashflow in the backend. Perhaps simplification of billing would result in less bookkeeping and more caregivers.
- creaghpatr 5y ago
  Yes, I'm bullish on the potential savings of standardization, of course in healthcare the devil is in the details so it matters what they mean by those things.
  - kingsuper20 5y ago
    Exactly right. I hate even having an opinion on this kind of thing. Software people tend to be filled with concepts on the way-things-oughtta-be-why-are-people-so-stupid usually without any domain knowledge and it's good to watch out for that tendency. Medicine is like tax law, there's a whole lot to it. Some historical, some arbitrary, some greed, some altruism.
podgaj 5y ago
>simplifying/streamlining individual plans, standardizing plans across all groups ie. more standardization, and a combination of those two things It's the factory system, but for health care!

dboreham 5y ago

Or perhaps look at other western countries that don't have any of this vampire squid stuff.

e40 5y ago
Like Japan that has a published book which contains the prices for all procedures. https://en.wikipedia.org/wiki/Health_care_system_in_Japan#Cost https://en.wikipedia.org/wiki/Health_care_system_in_Japan#Co...

shkkmo 5y ago

I thought a major aspect was also standardizing contracts between insurers and providers.

kingsuper20 5y ago

I'm not much for the genius of government to correct things, but you really can make a strong argument for the standardization to a small number of insurance plans with stated rules, third party arbitration, etc. You would definitely see more of a free market by producing fungible products with (hopefully) a bit less obfuscation. The insurance companies would still do their best to not cover a claim of course, so this is only a partial solution. One nice side effect is that it's a small nudge in an organically 'designed' system rather than the inevitable chaos by changing the whole machine at once. If you believe in single payer healthcare, it would be easy to attach redesigns in cash inflow to a set of standardized policies. I've always admired the size of office staff in a doctor's office, no doubt mostly due to the complexity of the cashflow in the backend. Perhaps simplification of billing would result in less bookkeeping and more caregivers.

creaghpatr 5y ago
Yes, I'm bullish on the potential savings of standardization, of course in healthcare the devil is in the details so it matters what they mean by those things.
- kingsuper20 5y ago
  Exactly right. I hate even having an opinion on this kind of thing. Software people tend to be filled with concepts on the way-things-oughtta-be-why-are-people-so-stupid usually without any domain knowledge and it's good to watch out for that tendency. Medicine is like tax law, there's a whole lot to it. Some historical, some arbitrary, some greed, some altruism.

podgaj 5y ago

>simplifying/streamlining individual plans, standardizing plans across all groups ie. more standardization, and a combination of those two things It's the factory system, but for health care!