HLT POL 100 Lecture Notes - Lecture 17: Unnecessary Health Care, Managed Care, Dementia
4 Dec 2020
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Employers care about costs: health plans care about costs, remember the evolution that led to capitation. Ffs dffs fee schedule capitation. Capitation was intended to engage the provider in caring about costs. The concept behind cdhp"s: patients are insulated from actual cost of care. See only their share of cost, but not actual cost. In order to control costs, we must re-engage the patient. By making a substantial chunk of the cost of care the patient"s money, patients will make informed decisions about accessing care. By rewarding cost-effective behavior (that is, you get to keep money you don"t spend on care), patients will be judicious about spending health care dollars. Er utilization down: no other indications of cost savings. Cdhp patients self-report delays in accessing care. Too soon to tell if those delays drive costs up (if early intervention leads to lower costs and better outcomes, what do delays lead to?)
