Comments on: Review of Porter Book http://healthblog.ncpa.org/book-review-redefining-health-care/ Health Care Policy and Reform Insights | NCPA Sun, 12 Feb 2012 00:03:44 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Telling Doctors How to Practice Medicine | John Goodman | NCPA http://healthblog.ncpa.org/book-review-redefining-health-care/comment-page-1/#comment-50465 Telling Doctors How to Practice Medicine | John Goodman | NCPA Mon, 14 Dec 2009 16:31:49 +0000 http://cdhc.ncpa.org/blog/?p=78#comment-50465 [...] for delivering health care in specialized, focused factories. In reviewing these publications [here, here and here], I argued that the desired reforms would be natural and normal in an unfettered [...] [...] for delivering health care in specialized, focused factories. In reviewing these publications [here, here and here], I argued that the desired reforms would be natural and normal in an unfettered [...]

]]> By: George Swan http://healthblog.ncpa.org/book-review-redefining-health-care/comment-page-1/#comment-39747 George Swan Thu, 20 Nov 2008 03:39:27 +0000 http://cdhc.ncpa.org/blog/?p=78#comment-39747 Good review. I think the bundle of healthcare services should be a one-year supply of knowledge. Currently, we generally know very little about how much the year ahead will cost, or even how much the next unit of health service will cost. If we dispensed with the high cost of confusion provided by an unnecessary third-party multi-payer system and replaced it with a single-payer, individuals could see how much their past year cost, how much others paid, and what are the cause-effect relationships between health practices (self-care and provider-care) and health outcomes (eg obesity, heart failure, cancer, quality of life). Communities could bundle the same information. Information supports accountability. Accountability fosters results. No data, no performance. Good review. I think the bundle of healthcare services should be a one-year supply of knowledge. Currently, we generally know very little about how much the year ahead will cost, or even how much the next unit of health service will cost. If we dispensed with the high cost of confusion provided by an unnecessary third-party multi-payer system and replaced it with a single-payer, individuals could see how much their past year cost, how much others paid, and what are the cause-effect relationships between health practices (self-care and provider-care) and health outcomes (eg obesity, heart failure, cancer, quality of life). Communities could bundle the same information. Information supports accountability. Accountability fosters results. No data, no performance.

]]> By: Health Savings Account http://healthblog.ncpa.org/book-review-redefining-health-care/comment-page-1/#comment-1419 Health Savings Account Tue, 20 Feb 2007 23:22:18 +0000 http://cdhc.ncpa.org/blog/?p=78#comment-1419 <strong>Markus</strong> It was quite useful reading, found some interesting details about this topic. Thanks. Markus It was quite useful reading, found some interesting details about this topic. Thanks.

]]> By: http://healthblog.ncpa.org/book-review-redefining-health-care/comment-page-1/#comment-529 Mon, 27 Nov 2006 15:59:59 +0000 http://cdhc.ncpa.org/blog/?p=78#comment-529 Thanks for the heads up. My only comment about bundling services is that it is a great idea and for some of us it was the way we practiced 30 years ago. We referred to it as an holistic approach. I was taught to take care of sick children, not to take care of an illness. However, as an economic model, the biggest flaw is that no two people respond to an illness and therefore to a therapeutic regimen the same way, so that outliers need to be part of the equation. Just make sure that the physicians don't turn into liars by boosting revenue with outliers. Our system is so full of fear and greed, I can't put anything past my colleagues. Thanks for the heads up. My only comment about bundling services is that it is a great idea and for some of us it was the way we practiced 30 years ago. We referred to it as an holistic approach. I was taught to take care of sick children, not to take care of an illness. However, as an economic model, the biggest flaw is that no two people respond to an illness and therefore to a therapeutic regimen the same way, so that outliers need to be part of the equation. Just make sure that the physicians don't turn into liars by boosting revenue with outliers. Our system is so full of fear and greed, I can't put anything past my colleagues.

]]> By: Frank D. Raines http://healthblog.ncpa.org/book-review-redefining-health-care/comment-page-1/#comment-376 Frank D. Raines Thu, 09 Nov 2006 21:22:07 +0000 http://cdhc.ncpa.org/blog/?p=78#comment-376 I, too, like the Porter book. But you have it right about barriers to competition that come from provider inertia compounded by third-party payer control. Frank D. Raines I, too, like the Porter book. But you have it right about barriers to competition that come from provider inertia compounded by third-party payer control. Frank D. Raines

]]> By: Anonymous http://healthblog.ncpa.org/book-review-redefining-health-care/comment-page-1/#comment-375 Anonymous Thu, 09 Nov 2006 20:02:06 +0000 http://cdhc.ncpa.org/blog/?p=78#comment-375 Excellent review and honest. Health care reform is a critical issue. The authors are well-known, highly educated, and know their subject well. Unfortunately, they wrote a book whose redundancies, especially in the opening chapters, drives the reader to boredom. Likewise, the reader feels at times as though the good professors were trying to fulfill a mandatory page count, and therefore, inserted much irrelevant data. Frankly, I set the book aside, planning on finishing it after more readable books have been read. Dave Racer http://www.yourhealthmattersbook.com Excellent review and honest. Health care reform is a critical issue. The authors are well-known, highly educated, and know their subject well. Unfortunately, they wrote a book whose redundancies, especially in the opening chapters, drives the reader to boredom. Likewise, the reader feels at times as though the good professors were trying to fulfill a mandatory page count, and therefore, inserted much irrelevant data. Frankly, I set the book aside, planning on finishing it after more readable books have been read.

Dave Racer
http://www.yourhealthmattersbook.com

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