Are Healthcare Services As Well As Products Simply Commodities?
I had a give-and-take alongside individual who brought upwardly an interesting scream for well-nigh insurers/payers who process healthcare services (tests as well as procedures) products (medications, lab work, medical devices, etc.) to survive commodities that are yesteryear paid piecework. This model is inwards sudden contrast to the Pay-for-Value/Value-Pricing model I've been proposing.
The persuasion that healthcare services as well as products as commodities is based on faulty reasoning. In reality, the services rendered yesteryear dissimilar providers, as well as the products produced yesteryear dissimilar manufacturers, are frequently non every bit (a) effective inwards terms of security as well as character (degree of adventure as well as arrive at goodness to the patient); (b) efficient inwards terms of speed as well as resources consumption; as well as (c) affordable inwards terms of overall cost. In other words, they are non every bit cost-effective. As such, it is irrational to pay the same amount across the board for a item type of healthcare service as well as product. Influenza A virus subtype H5N1 to a greater extent than sane approach would survive to role a value-based model of pricing that pays to a greater extent than for the services as well as products that deliver greater value to the patient/consumer yesteryear existence to a greater extent than cost-effective.
There are many reasons why American healthcare does non create got such a value-based model. An first-class article late published inwards NEJM (at this link) addresses this number directly: The $640 Billion Question—Why Does Cost-Effective Care Diffuse So Slowly? Bottom line: There is piddling fiscal incentive, as well as dandy disincentive, to promoting cost-effectiveness inwards the electrical current U.S. healthcare system. Here’s a brief quote:
I’ve been writing well-nigh the involve for a value-based healthcare scheme since 2007 (see /search?q=path-to-profound-healthcare as well as /search?q=path-to-profound-healthcare). It seems to me that fixing healthcare inwards the U.S. (and our economic scheme inwards general), requires (in part) that nosotros transform our pathologically mutated model of capitalism (see /search?q=path-to-profound-healthcare) into a rational model based on rewarding delivery of value to the consumer!
The persuasion that healthcare services as well as products as commodities is based on faulty reasoning. In reality, the services rendered yesteryear dissimilar providers, as well as the products produced yesteryear dissimilar manufacturers, are frequently non every bit (a) effective inwards terms of security as well as character (degree of adventure as well as arrive at goodness to the patient); (b) efficient inwards terms of speed as well as resources consumption; as well as (c) affordable inwards terms of overall cost. In other words, they are non every bit cost-effective. As such, it is irrational to pay the same amount across the board for a item type of healthcare service as well as product. Influenza A virus subtype H5N1 to a greater extent than sane approach would survive to role a value-based model of pricing that pays to a greater extent than for the services as well as products that deliver greater value to the patient/consumer yesteryear existence to a greater extent than cost-effective.
There are many reasons why American healthcare does non create got such a value-based model. An first-class article late published inwards NEJM (at this link) addresses this number directly: The $640 Billion Question—Why Does Cost-Effective Care Diffuse So Slowly? Bottom line: There is piddling fiscal incentive, as well as dandy disincentive, to promoting cost-effectiveness inwards the electrical current U.S. healthcare system. Here’s a brief quote:
Baca Juga
“To avoid fiscal crises inwards federal as well as state governments as well as turmoil for wellness attention stakeholders, U.S. wellness attention must teach to a greater extent than cost-effective. The U.S.A. spends much to a greater extent than per capita on wellness attention than arrive at other developed countries, alongside wide outcomes no meliorate than those of its peers...There are, however, private U.S. physicians as well as wellness attention organizations that deliver high-quality attention at a terms roughly 20% lower than the average. If the balance of the U.S. wellness attention manufacture followed their example…$640 billion would [be saved. The reasons for our failure to focus on cost-effectiveness] prevarication inwards the perceptions as well as behaviors of the major participants inwards wellness care.”
I’ve been writing well-nigh the involve for a value-based healthcare scheme since 2007 (see /search?q=path-to-profound-healthcare as well as /search?q=path-to-profound-healthcare). It seems to me that fixing healthcare inwards the U.S. (and our economic scheme inwards general), requires (in part) that nosotros transform our pathologically mutated model of capitalism (see /search?q=path-to-profound-healthcare) into a rational model based on rewarding delivery of value to the consumer!
