|
Competition And New Technology
Mark V. Pauly
Most real medical spending growth is accounted for by beneficial but costly new technology. This paper argues that a missing dimension of our concepts of competition among health plans is a focus on their policy toward new technology. In principle, plans could choose to move rapidly or slowly, inclusively or selectively, toward adopting new technologies, broadly defined. These policies would affect the rates of growth of their premiums, and consumers could choose among plans depending on both the technology policy and premium growth. Legal impediments, physician resistance, and membership turnover are all possible obstacles. Further thought should be given to making technology policy an explicit dimension of plan competition.
       What's this?
This article has been cited by other articles:
|
|
|
|
 
D. M. Thys
Cardiac Anesthesia: Thirty Years Later--The Second Annual Arthur E. Weyman Lecture
Anesth. Analg.,
December 1, 2009;
109(6):
1782 - 1790.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. A. Ladapo, J. R. Horwitz, M. C. Weinstein, G. S. Gazelle, and D. M. Cutler
Adoption And Spread Of New Imaging Technology: A Case Study
Health Aff.,
November 1, 2009;
28(6):
w1122 - w1132.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
V. R. Fuchs
Four Health Care Reforms for 2009
N. Engl. J. Med.,
October 29, 2009;
361(18):
1720 - 1722.
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. W. Van Way III
Change Is in the Wind
Nutr Clin Pract,
August 1, 2009;
24(4):
433 - 435.
[Full Text]
[PDF]
|
|
|
|
|
|
|
V. R. Fuchs
Three "Inconvenient Truths" about Health Care
N. Engl. J. Med.,
October 23, 2008;
359(17):
1749 - 1751.
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. V. Pauly
'We Aren't Quite As Good, But We Sure Are Cheap': Prospects For Disruptive Innovation In Medical Care And Insurance Markets
Health Aff.,
September 1, 2008;
27(5):
1349 - 1352.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. E. Steuerle and R. R. Bovbjerg
Health And Budget Reform As Handmaidens
Health Aff.,
May 1, 2008;
27(3):
633 - 644.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. C. Denny, E. J. Emanuel, and S. D. Pearson
Why Well-Insured Patients Should Demand Value-Based Insurance Benefits
JAMA,
June 13, 2007;
297(22):
2515 - 2518.
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. A. Berenson
Which Way For Competition? None Of The Above
Health Aff.,
November 1, 2005;
24(6):
1536 - 1542.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
