Creating Outcome-Driven Health Care Markets
According with the authors, in the US for instance, while exchanges and reforms like subsidies, guaranteed issues, age bands, community rating, reinsurance, and risk adjustment are all helpful, a huge opportunity remains to segment the health care market around different categories of patient demand.
Basic economic theory states that a well-functioning market is aligned between supply and demand. In health care, demand is falling into three segments: healthy people who have episodic needs, chronic disease patients with predictable needs, and highly complex patients with less predictable needs. Given the high variance between the three submarkets, the authors believe that each of these segments should be thought of as a discrete market and served by different types of insurance products, payment models, and health care providers.
They think that this is necessary since each of these segments values providers differently. This article analyses that.
Creating Outcome-Driven Health Care Markets
Reviewed by Juan C
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12:53 PM
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Reviewed by Juan C
on
12:53 PM
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