> Judah wrote:
>
> MRI's were developed at Stony Brook University in the 70's

My point is that private industry is incented to invent, develop and
innovate these technologies through profit; Government controls on
their use could seriously inhibit that.  (if they weren't, after all,
they wouldn't!!)

Example of a failure scenario on the care level:

If a government run healthcare system said, for example, we'll decided
who and when MRIs are used.  If the overall impact of that policy is
to drop MRI use and, further, purchase of MRIs is at the government
level every, say, 5 years.  That would drastically remove innovation
from the marketplace.  Instead of lots of vendors selling to lots of
hospitals, you'd have a few vendors selling to the gov't.


An example of multi-payer success at the current plan level:

As mentioned, private insurance companies can buy Medicare risk from
the government in a way that incents them to keep people healthy.

The way it works is that, say, Cam-Chi Health tells the government
it's going to buy population X's health risk from them.  In exchange
Medicare pays Cam-Chi a per-member-per-month fee, provides them with a
risk-adjustment (RAF) fee, provides them with a quality bonus based on
HEDIS scores, and requires monthly oversight.

Cam-Chi is betting that its enrollees cost less than the PMPM fee it
receives from Medicare.  And it's incented to keep them healthy
because if it does, it makes more profit.  (Monthly CMS review
prevents denial of legitimate claims).


My point is, public-private partnerships can and do work great.  But
the minute the government restricts plans, we're screwed.

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