Restoring the Physician/Patient Relationship: An Interview with Jackson Healthcare&a... (would be invested and all payors would p...)

Restoring the Physician/Patient Relationship: An Interview with Jackson Healthcare's CEO

Date:10/14/2009

would be invested and all payors would pay premiums into the trust. Actuaries would determine ongoing premiums based on desired coverage and actuary tables would reflect higher out-of-pocket costs for those whose lifestyles make them poor health risks.

What do you mean by "putting physicians back in control of medicine"?

We need to trust physicians again. It's not fair to have a few opportunists handicap the majority of physicians who practice medicine for the right reasons. It's also not efficient to have legislation or insurance clerks second guessing every decision a physician makes regarding the care of their patients.

The first step is reducing malpractice and defensive medicine costs. The present cost of malpractice and defensive medicine is about 10% of healthcare costs. Physicians order unnecessary tests in an effort to protect themselves from negligence claims.

The second step is establishing national physician review panels. These are non-biased, independent peers who would control protocols for patient care, define what's medically necessary, approve exceptions and review malpractice claims.

How would your plan incentivize physicians and private industry while protecting patients against unethical practices?

Healthcare systems already exist where physicians successfully deliver low cost, high quality healthcare to their patients. Mayo Clinic and Cleveland Clinic are great examples.

Physicians who create a better financial model to cut the costs of medical and surgical care should be rewarded. The lowered costs would reduce premiums.

Private industry should be incentivized to develop innovative technology and pharmaceuticals in ways that make healthcare more efficient and cost-effective. Without these incentives, the future of medicine will depend on government and non-profit scientists and grants. In countries that have universal government healthcare, innovation
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