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Another New Idea?
[By Staff Writers]
According to Mark Fendrick MD and Michael E. Chernew PhD, instead of the one size fits all approach of traditional health insurance, a “clinically-sensitive” cost-sharing system that supports co-payments related to evidence-based value for targeted patients seems plausible.
The Model
In this model, out-of-pocket costs are based on price and a cost/quality tradeoff in clinical circumstances: low co-payments for interventions of highest value, and higher co-payments for interventions with little proven health benefit.
Benefit Product Packages
Smarter benefit products and packages are then designed to combine disease management with cost sharing to address spending growth.
Assessment
What do you think of this new health insurance business model; is it revolutionary or evolutionary?
Conclusion
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Filed under: Health Insurance | Tagged: ACOs, Chernew PhD, Mark Fendrick MD, vales based healthcare | 3 Comments »
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