High drug prices don't encourage innovation. They encourage drug companies to look for blockbuster drugs, not ones that can help the most.
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I think alternative payment models will very much not be just "in the margins" within 5 years, at the most
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You might want to look at similar systems. Ie Ontario MDs mainly fee for service models, but some tests of blended salary models in FHTs etc
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Some of the models (ie salaried MD in community health centres) have been worse economically as doctors see few patients.....
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I have definitely wondered about this. I'll look into it, thanks!
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If you have a look at research on Family Health Teams in Ontario that would be a good start. Ie The Conference Board of Canada report.
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It is more focused on quality than cost, but there are some clues in the patient
#s: http://www.conferenceboard.ca/e-library/abstract.aspx?did=6711 …
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Re 5% spend 50%, what does the cost breakdown look like in other countries?
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In Ontario, over half of health care spending covers the top 5%. Unfortunately, I think there is an exaggerated belief in how much savings..
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...can be achieved. A big % of this is cancer care and end of life care. No one seems to know how big a %. Where there is room for saving...
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...(imho) seems to be for those individuals with multiple chronic conditions especially including mental health, addictions and poverty.
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Thanks, so at least in Canada (I assume) the same issues hold for chronic and costs. This seems very intractable then, even w/ single payer.
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I'm not sure it is as big a problem as people think: it stands to reason that health care for really sick people costs more than for healthy
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Ie it's a feature not a bug. The problem is the underlying cost structure of that care and, in many cases (or cancer care) cost is high.
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Can still manage by managing underlying cost structure, which seems to be the biggest failure in US healthcare.
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WOW...you just. do. not. get. it. It's OK. I understand. Trust me, I really understand.
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In 2000, I read that 1/3 of all money spent on HC in US doesn't get past the insurance Co. Yes, the ins Co are hoovering up your money.
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