Health plan good start but must control costs more
By Jim Himes
...Health care reform must have two primary goals: provide Americans with stable access to high-quality care, and substantially reduce the costs in the system. Fail in the first goal, and we will continue to live with the moral and economic costs of a broken system. Fail in the second, and we will simply accelerate the unsustainable trajectory of this system.
The reform proposal being discussed in the U.S. House of Representatives does well on the first goal. It would cover almost all Americans, and provide subsidies to those households unable to afford it...
The public option has been the subject of much debate. Properly structured to assure a level playing field, a public option will provide much needed competition for the insurance companies and help bring down costs nationally..
Unfortunately, the proposal before the House is weak on the second key goal: cost reduction...
We must revisit our current fee-for-service, volume-based model, in which every provider at every step has powerful incentives to order test after test, procedure after procedure, with little regard for what is actually effective.
Instead we should reward hospitals and doctors who deliver higher quality health care. Doctors and patients need access to the best information and evidence on effectiveness. True health care reform must encourage proven best practices...