Comments on: Pay-for-Performance That May Actually Work http://healthblog.ncpa.org/pay-for-performance-that-may-actually-work/ 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: Linda Gorman http://healthblog.ncpa.org/pay-for-performance-that-may-actually-work/comment-page-1/#comment-42271 Linda Gorman Tue, 28 Apr 2009 15:21:32 +0000 http://www.john-goodman-blog.com/?p=3137#comment-42271 Suppose you have two drugs. One generates a small improvement in almost all patients. The other generates a very large improvement in 10% of patients. No one can predict who will respond to either drug as the biological mechanisms are not well understood. Which drug will your insurance company prefer that you try given these arrangements and the rebate structure described above? Which drug would you prefer to try? Given finite research funds, in which treatment pathway should research funds be invested? Just a few reasons why centrally controlled health care is a disaster... Suppose you have two drugs. One generates a small improvement in almost all patients. The other generates a very large improvement in 10% of patients. No one can predict who will respond to either drug as the biological mechanisms are not well understood.

Which drug will your insurance company prefer that you try given these arrangements and the rebate structure described above? Which drug would you prefer to try? Given finite research funds, in which treatment pathway should research funds be invested?

Just a few reasons why centrally controlled health care is a disaster…

]]> By: Nancy http://healthblog.ncpa.org/pay-for-performance-that-may-actually-work/comment-page-1/#comment-42259 Nancy Mon, 27 Apr 2009 20:18:51 +0000 http://www.john-goodman-blog.com/?p=3137#comment-42259 I agree with Vicki. What's wrong with a money back guarantee? I agree with Vicki. What’s wrong with a money back guarantee?

]]> By: Vicki http://healthblog.ncpa.org/pay-for-performance-that-may-actually-work/comment-page-1/#comment-42258 Vicki Mon, 27 Apr 2009 19:50:36 +0000 http://www.john-goodman-blog.com/?p=3137#comment-42258 This is a great idea. I wish all drugs were sold this way. This is a great idea. I wish all drugs were sold this way.

]]> By: Neil H. http://healthblog.ncpa.org/pay-for-performance-that-may-actually-work/comment-page-1/#comment-42254 Neil H. Mon, 27 Apr 2009 18:40:30 +0000 http://www.john-goodman-blog.com/?p=3137#comment-42254 If, as you showed in a previous post, drugs work only about half the time for major categories of chronic illnesses, this could radically change the market for drugs. If, as you showed in a previous post, drugs work only about half the time for major categories of chronic illnesses, this could radically change the market for drugs.

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