Health insurance reform without cost reform is pointless. For more about how to create both, see the free article on the New England Journal of Medicine’s web site:
http://healthcarereform.nejm.org/?p=1627&query=TOC
"There is, however, another option that could control spending across both the public and private insurance pools. Other countries that have multiple insurers, such as Germany, Japan, and the Netherlands, use all-payer regulation to control costs. In these countries, insurers come together to negotiate, or the government takes the lead in setting, common payment rules for medical care. With a few exceptions, payments to all doctors in a given geographic area follow a standard fee schedule. Hospitals are also paid on comparable terms."
For more about how multiple insurer systems work in Germany, Japan, and Holland, see the new book, The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care By T.R. Reid, and listen to his interviews on NPR.
http://healthcarereform.nejm.org/?p=1627&query=TOC
"There is, however, another option that could control spending across both the public and private insurance pools. Other countries that have multiple insurers, such as Germany, Japan, and the Netherlands, use all-payer regulation to control costs. In these countries, insurers come together to negotiate, or the government takes the lead in setting, common payment rules for medical care. With a few exceptions, payments to all doctors in a given geographic area follow a standard fee schedule. Hospitals are also paid on comparable terms."
For more about how multiple insurer systems work in Germany, Japan, and Holland, see the new book, The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care By T.R. Reid, and listen to his interviews on NPR.
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