“To truly reform
•Freeing the Patient: it is time to treat patients as partners in their own health care. The first step is to make individuals responsible for managing at least some of their own money. They would benefit from prudent decisions and costs would be reduced.
•Free the Doctor: Medicare’s bureaucratic rules prohibits payment for many services that providers would like to offer and patients would like to receive. Instead, any
•Free the Market: Medical fees should be determined the way prices are determined everywhere else in the economy -- in the marketplace.
•Free the Insurer: Insurers need to be given incentives to create specialized plans -- especially for chronic illnesses -- that compete with each other. An example can be seen in
“Most current and proposed health care reforms, including the Affordable Care Act, are changes developed by third-parties, such as insurance companies and bureaucratic administrators,” said Herrick. “In every other industry, innovations come from entrepreneurs who provide new services and come up with new products and solutions that revolutionize each market. It’s time we changed the incentives and applied the same approach to health care.”
How to do that? The NCPA study explores several specific examples of successful entrepreneurial health care solutions and proposes 10 important policy changes:
•Telephone and E-Mail Services:
•Concierge Doctors: If patients and doctors are willing,
•Billing by Time, Rather Than Task: Doctors should be allowed to change the mix of services they offer. If the change in practice is substantial enough, we should allow patient copayments and let them be determined in the marketplace.
•Paramedical Personnel: Nurses and physician assistants should be allowed to perform tasks that do not require a physician’s level of expertise in order to expand the availability of low-cost medical care.
•Bundling: Providers should be encouraged to offer package prices for bundled services and
•International Medical Tourism:
•Domestic Medical Tourism:
•Selective Relaxation of Price Controls: