Avoiding the Tragedy of the Commons in Health Care: Policy Options for Covering High-Cost Cures.
Rand Health Q
; 6(2): 1, 2017 Jan.
Article
en En
| MEDLINE
| ID: mdl-28845339
In this article, Mattke and his colleagues discuss the risk that strategic behavior by health insurers could unravel the market for curative therapies for chronic diseases. Because the cost of these cures is front-loaded but the benefits accrue over time, insurers might attempt to delay treatment or avoid patients who require it, in the hope that they might change insurers. The authors discuss policy options to remedy this potential free-rider problem through alignment of incentives at the patient level, coordination among payers, and government intervention. They present a framework to analyze policy options and real-world case studies. While implementing those policy options is far from easy, stakeholders need to collaborate in order to establish equitable mechanisms that fairly distribute the cost and benefits of high-cost cures.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
/
2_ODS3
Problema de salud:
1_financiamento_saude
/
2_cobertura_universal
Tipo de estudio:
Health_economic_evaluation
Idioma:
En
Revista:
Rand Health Q
Año:
2017
Tipo del documento:
Article