solution
Approaches Associated with the Lenses
What Is Managed Competition?
– “Sponsor” to manage system ·
– Evidence-based medicine
– Competitive bidding among health plans
– Penalties for readmissions, HACS, etc.
– Administered prices
– Reference pricing
– Value purchasing (bundling)
– Certificate of Need
What Is Consumer-Driven Care?
– High deductible
– Consumer ratings
-Quality transparency
– Price transparency
– Multistate insurance
– Competition
– Insurance exchanges
– Premium tax credits replacing employer payments
– Individual mandate
What is corporative life ?
–Employed physicians
-Self-regulation or ‘get incentives right
– Employer based insurance
– Organizational learning and peer enforced change
– competition on reputation and amenities
– reasonable & customary + relative value scale
– consolidation / market dominance
– lip service about disruptive innovation
what are pros and cons of each ?
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