So, the notion that a market-based environment can radically improve health care, not with their controlling the system through a self referential intellectual cartel, but through market-based entrepreneurs and empowered consumers, is very threatening. Health Care: What Role for Regulation? The new intermediaries -- Ch. I hope I am wrong, but these organizations are simply not feasible. I think antitrust may be the way to go after these mergers that are against the public interest. Health care is run by the people who provide services, not by consumers. All of her health care books have been best sellers in their categories, recognized for their innovative research.
And measures of diseases like asthma and diabetes, which have significant genetic components, must be adjusted for the composition of the population before they begin to make sense. Most employers will drop their health insurance coverage and cash out their employees. The silent revolution -- Ch. You guys at General Electric, you create your own prices for different types of engines. Healthtrac: Proven Reduction of the Need and Demand for Medical Services James F. This is something I discuss extensively in my book, Who Killed Health Care? The right advice depends on their individual characteristics, such as the rigidity of their vessels and so on. Professor Herzlinger challenges the reader to look beyond solutionsthat are based on what consumers should want to solutions that giveconsumers what they want.
Now, suppose you came up with a radically new way of making jet engines. We have to be idiots to do that. Why we need consumer-driven health care -- Ch. You Just Can't Pay Tom, Juan, and Ashley the Old Way Anymore Bonnie B. That criticism is a little naïve. If you look at any market, there are a tremendous range of choices.
They can buy pretty much the kind of policy they want. The Buyers Health Care Action Group: Creating Incentives to Seek the Sick Ann L. Health care: what role for regulation? There are lessons here for all of us whocare about reforming our health systems to make them better. Herzlinger: One of the problems with measurement right now is that it is overwhelmed by interest groups. That proposal was widely rejected.
It is a measure that a small group of people has imposed on everybody else. More than 70 percent of the Swiss wanted to keep what they have. Health-Based Premium Payments and Consumer Assessment Information Vicki M. It is an idea I came up with in 1996, and Peter independently thought about it, so we co-wrote this paper. We showed that the consolidated entities in the east coast and the west side of Massachusetts were paid up to 40% more than their competitors, and did not deliver care that was better to patients who were just as risky in all of these centers. Not enough changes in demand and supply.
The main difference between them and Switzerland is that they are not consumer-driven. The Right Care: Vanderbilt Medical Center Harry R. The Role of Providers Michael L. Consumer-Driven Health Care for the Uninsured Kevin Vigilante. Herzlinger: P4P is a good idea overall. Herzlinger: The sample-size argument is another example of the insular, self-referential, self-protective nature of the health care sector, which is run much more for the benefit of the status quo than the consumer. Some of the people in the health care sector pooh-pooh this.
Medical Savings Accounts and Health Care Financing in South Africa Shaun Matisonn. They want to know, If I go to this surgeon, given my risk class, and have the following things done, what is my likelihood of emerging alive, having the surgery done at the right location, and not getting an infection? If there is controversy, there are many explanations, but one is discrimination against women with ideas. Some even run insurance companies. And they also reduce costs along the way. Right now, I can tell them whether the doctor told some patients to stop smoking or gave others a beta-blocker.
The category, even more promising, as far as controlling cost, is personalized medicine through new kinds of drugs, new kinds of diagnostics, and new kinds of devices. If a typical doctor does not have enough sample size to produce reliable data about diabetics, should that doctor be treating diabetics? The Half-Billion Dollar Impact of Information About Quality Becky J. The Future of Twenty-First Century Health William W. Fee-for-service payment is perverse because it penalizes integration. As a simple example, most vehicle manufacturers do not make their own batteries because they recognize that firms that specialize in these complex products create better value. The administrative costs of our health insurers are between 12 and 20 percent.
Galvin: Much focus has been on whether people are smart enough to be savvy consumers of health care. Entrepreneurs will provide a range of options. Helping Patients Manage Their Asthma: The National Jewish Approach Lynn M. The second reason is the micromanagement by Medicare and by the private insurers. In the 1930s, the financial markets were like health care, in terms of no information. What matters is that it is not a market-based measure.