Posted 10/10/12 on Medscape Connect’s Care & Cost Blog
When an employer sits down with his health care partners – broker, health plan, physician, hospital, drug and device firm, health IT firm – everyone but him wants health care to cost more, and each is typically in a position to make that happen.
Lynn Jennings, CEO, WeCare TLC
A new class of health care management organization is emerging that thrives by taking advantage of health care’s rampant and institutionalized waste. These firms mine the market dysfunction that has developed over decades, which will almost certainly yield enough fuel to drive a new way to manage care and cost.
The founders of these organizations have deep health care experience, and they understand the mechanisms of excess. More important, the ones I’ve met are mission-driven, with a deep sense of outrage that health care’s exploitation has become so pervasive and overt. So their businesses are purposeful.
They know that supply chain, health information technology, care delivery and health care finance firms have devised dozens of ways to drive unnecessary care and cost, often operating outside of market-based rules and delivering only nominal value. And that these forces explain why US health care costs double what it does in other developed nations, and why credible studies estimate that half (or more) of all our health care spending delivers no value.