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By Einer Elhauge
Why is our health and wellbeing care procedure so fragmented within the care it offers sufferers? Why is there little coordination among the numerous medical professionals who deal with person sufferers, who usually even lack entry to a standard set of scientific documents? Why is fragmentation an issue even inside of a unmarried health facility, the place mistakes or miscommunications frequently appear to outcome from bad coordination among the myriad of execs treating anybody person sufferer? Why is well-being care fragmented either over the years, in order that too little is spent on preventive care, and throughout sufferers, in order that assets are frequently misallocated to the sufferers who desire it least? The Fragmentation of U.S. overall healthiness Care: reasons and recommendations ways those large questions with a hugely interdisciplinary method. The articles integrated within the paintings deal with criminal and regulatory matters, together with legislation that mandate separate funds for every supplier, limit hospitals or others from controlling or lucrative the set of companies treating a sufferer to guarantee coordinated care, and supply affirmative disincentives for coordinating care through paying extra for uncoordinated care that calls for extra providers. enterprise purposes for the present type of medical institution association are thought of, and potency and layout are tested and in comparison to different industries. The economics of present health facility association also are taken into consideration. The authors research and suggest a variety of reforms that make our future health care method much less fragmented, extra effective, and extra medically powerful.
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2009. ” Journal of Economic Behavior and Organization, 71:2, pp. 550–62). Switzerland requires all residents to purchase health insurance in a marketplace that features a large number of competing insurers. s. S. 7 McGlynn et al. 9 The complications associated with these conditions accumulate over time, so early interventions can improve patient care and reduce medical costs. The short expected duration of insurance relationships undermines insurers’ incentives to invest in preventative care and disease management.
Patients with chronic illnesses will add bills from durable medical equipment providers, home health agencies, physical therapists, and the like. This is not to suggest that the system is fully fragmented; hospitals (and, to a lesser extent, physicians) do aggregate many services under one roof. Yet, the degree of fragmentation is still remarkably high. The payment system plays an important role in encouraging and maintaining this degree of fragmentation. 4 Further, the payment system looks the way that it does, at least in part, because of these other factors.
For an analogous discussion of bariatric surgery see Ronen Avraham and K. A. D. Camara, ‘The Tragedy of the Human Commons,’ Cardozo Law Review, 29/2 (2007), 479–511. 11 Diabetes-related complications account for more than 200,000 deaths annually, 82,000 amputations, 38,000 new cases of end stage renal disease and 12,000 cases of blindness. Although there is no cure for diabetes, effective treatment and screening strategies exist to control co-morbid conditions and to extend the quality and length of life.