Thursday, June 14, 2007

How do you quantify the cost and benefits of......

Interesting article about the cost and quality of medicine.

http://www.nytimes.com/2007/06/14/health/14insure.html?_r=1&th=&adxnnl=1&oref=slogin&emc=th&adxnnlx=1181827004-6oB1hqitpNuq9p0obBHcIA

3 things I think I think (apologies to Sports Illustrated's Peter King)

1. OK, how do you pay for quality? And is every complication a sign of poor quality?

2. Patients who are high risk will be denied treatment. Why treat someone when you will lose money?

3. What if the hospitals that had better scores for bypass surgery did bypass surgery on people who should have had the less expensive and less risky angioplasty? Overall, their costs would have been higher as far as less effective care.

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