On Mon, Feb 16, 2009 at 12:31 PM, Scott Stroz <[email protected]> wrote: > > You make a good point, but wouldn't that be the case no mater who was > running the show? I mean if we had gov't funded insurance, wouldn't they > ultimately have to do the same thing and not just hemorrhage cash?
Yes and no. I think that there will be a role in any system for limitations on care. I also think that claims need to be investigated and that no system should just go paying willy-nilly for everything submitted to it. None the less, there is a profit motivation in private insurance. That is a good thing in all sorts of cases. I'm making software to reduce the administrative overhead in healthcare. The better job I do improving efficiency for them, the more profitable they are, the more money I make. That is a good example of the profit motive doing great things in private industry, even within the medical industry. With insurance, however, the profit motive means higher costs for insurance, rejection of more people that might upset your risk pool and a motivation to deny payments even where warranted. If we take away the shareholders pushing for an ever increasing revenue growth and profit margin every quarter we've already decreased the costs for the system. There is also a movement afoot to tie insurance reimbursement rates to quality of healthcare standards. Doctors with lower overhead, better communication, better patient satisfaction, more efficient systems, will receive higher reimbursement rates and thus try and promote competition between care givers. Ideally, money will flow from a large insurer pool (the American public) which normalizes and stabilizes the risk pool through a payer system with low overhead and efficiency of scale to doctors that are competing based on quality of care and efficiency. Judah ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~| Adobe® ColdFusion® 8 software 8 is the most important and dramatic release to date Get the Free Trial http://ad.doubleclick.net/clk;207172674;29440083;f Archive: http://www.houseoffusion.com/groups/cf-community/message.cfm/messageid:288705 Subscription: http://www.houseoffusion.com/groups/cf-community/subscribe.cfm Unsubscribe: http://www.houseoffusion.com/cf_lists/unsubscribe.cfm?user=11502.10531.5
