Free market and consumer care: hard to find a solution


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Translation: pencil leadn

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nAs we all know, the operation of the US health care system is decentralized. Consumers make smart decisions about the use of medical information rarely, and often fall into the network can not choose their own medical services. Cost and quality data is opaque, professional medical channels are strictly controlled.n
nThe patient’s unpaid medical code and acronyms are not showing the value of the services provided. The final bill only lists some of the process name, the patient’s medical situation but did not mentionn
nThere are now projects that focus on health care reform, such as Congress once again calling for a search for a more powerful market incentives that allow consumers to choose whether or not the process is available. This reflects, on the other hand, the free market strategy that is often unreasonable with the term “capitalism”, which means the profit power at the expense of others.n
nAnother practical way to look at free markets is the voluntary exchange of goods and services. In the medical field, it means that the patient has the right to choose. Tax breaks and optional health savings accounts allow consumers to choose their own medical services.n
n2006 published the “Redefining Healthcare: Value-Based Competition on” authors Michael Porter and Elizabeth Teisberg’s in-depth analysis of the future of the medical and health market. Pointing out that the US health care system is in crisis, the high cost of millions of Americans affect the quality of care and personal financial benefits, these costs are derived from the uncertainty of the state and federal budget.n
nThey are widely studied in the US health care system, and one of the reasons for believing that existing problems are ignored are medical programs, networks, hospitals and other medical and health programs that continue to compete, rather than diagnostic, treatment, and preventive measures. In other words, insurance companies, health care systems and similar institutions accumulate bargaining power, transfer costs, maintain zero-sum competition, and contribute valuable to patients.n
nThe authors conclude that, unlike the real free market system, the medical and health modalities they prescribe are still highly regulated and dependent on the consumer’s public interest.n
nIn the Harvard Business Review in 2016, medical and health researchers Amitabh Chandra and others pointed out that consumers and health care systems can benefit from market forces and incentives. Found that the value of excellent hospitals can indeed accumulate a high market share. People will be attracted by high-quality results, from which to search.n
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nStruggling to seek answersn
nSummary: Is market incentives motivating consumers to participate in health care systems and making choices?n
nThe first is the economic factor of this problem, that is whether the market forces can improve the quality of care, while reducing costs? And then behavioral factors involved in determining whether people really want to take a consumer-centric attitude towards health care or turn to a larger health care ecosystem.n
nHashed Health, headquartered in Nashville, Tennessee, is also involved in this discussion. The medical partner company has tried to solve specific business problems that have plagued the industry.n
nTheir approach is mainly to work with leading health care companies to promote distributed book solutions to address the health care market’s unique problems. Active projects involve supply chain, claims cycle, payment, medical records, insurance and other use cases.n
n”In some of their cases, binding payments and performance pay seem to affect behavior. There are successful smoking cessation programs.” I think we learn that we learn from the health effects of the market incentives, “said John Bass, founder and chief executive officer of Hashed Health. To a lot of knowledge of the design of effective projects, even in the field of binding payments, it took seven years to begin to understand how to create a surgeon attention incentive mechanism.n
nBass said that the patient’s incentive mechanism, there are obviously a lot of health incentives to try, but no value.n
nn”We see failures far more than success, because it takes time to understand the real drivers of behavioral changes and project effectiveness.”n
nnBass believes that the incentive mechanism is a tool used in a relationship or network context (such as a patient / doctor relationship, a taxpayer / supplier relationship). Event background is equally important.n
nn”It does not make sense if you receive a year after the event, and I think it is often difficult for us to learn the incentive mechanism that does not take time and the network.”n
nnBass said that Hashed Health’s ultimate contribution to a market-based, consumer-oriented system is that it is perhaps the most important example for consumers to master the data, which is of interest to Hashed Health and many collaborators.n
nn”If we put medical data in the hands of consumers, there is the potential to change the flow of information on the market.I believe that such project management should be outside the enterprise architecture, should be ‘based on the chain of chain projects’ We provide such a great opportunity and responsibility, we have to cooperate with the social way to help daily medical and health consumers. “n

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