Brian Klepper
What Will It Take To Re-establish Stability and Sustainability to American Health Care? Will It Be Driven Through Policy or the Marketplace?
Provide Information For Better Health Care Decision Making
Problem
Information is not yet generally available to allow health care purchasers at all levels to make informed decisions. That is, without information health care cannot have a functional market.
Actions
Publicly report pricing and performance information on health care vendors in ways that are meaningful to purchasers and fair to those being evaluated.
Publicly report pricing/performance/value information for informed purchasing and decision-making.
Ensure greater transparency with information that identifies when products and services are and are not dictated by science and necessity.
Reward Individual Responsibility
Problem
Most health programs do not yet provide significant incentives for buying coverage and for striving to be healthy.
Actions
Provide a 100% tax deduction on health insurance premiums, HRA & HSA contributions to individuals with good or improving health status, as reflected in the G code (unmanageable chronic or acute conditions would be exempted); 75% deductible for others.
Reward patients with publicly-funded health coverage for taking more than 75% of prescribed blood pressure, diabetes and cholesterol medications, and for achieving control of blood pressure, diabetes, and high cholesterol conditions.
Principle 4: Promote “Meaningful” Consumerism
Wednesday, October 24, 2007
