Converging forces are an economic train wreck waiting to happen. Avoiding a disaster requires an understanding of the interconnection of health care's stakeholders and the global consequences of their actions.
The National Association of Insurance Commissioners has spent two years developing a model. Drug companies like it; health plans don't.
Sure there are diagnostic and treatment challenges, but the money that can be saved for society might make this fertile ground for investment.
Ira Studin, PhD, MPH
John A. Marcille
This means using a carrot-and-stick approach with physicians. Those who respect the evidence should be rewarded; others should face penalties.
Alan M. Muney, MD, MHA
Systems & Software
Donna J. Senft
Managed Care Outlook