Thursday, September 1, 2011

The difference between car repair and heart surgery


US health specialists argue that competition in the health market does not work. The main example: cardiac services. There is little price competition, high profit, too many interventions and not enough focus on alternative treatments. The solution: Pay for value, not volume, change incentives for physicians. In their own words:

... medicine is a highly dysfunctional market. There are many and sufficient reasons for this: getting your heart fixed is not the same as getting your car fixed. You can always take your car to a different mechanic, and, at worst, you can trade your failing car for a new one. A patient with 3-vessel coronary disease has fewer options. ... The study also suggests why this particular market works so poorly: “cardiac services contribute 25 percent to 40 percent of a hospital’s net revenues.” ... We pay too much for cardiac services, so we get too many of them.

Feel free to agree and disagree. More here: The Cost of Medicare: You Get What You Pay For | Care And Cost

Thursday, August 25, 2011

Victor Fuchs’ answer to the doctor’s dilemma

Here are some comments on Fuchs idea about how to combine the incentives to economize on resources at the same time that you want to give incentives to provide good health care.

Victor Fuchs’ answer to the doctor’s dilemma