Showing posts with label sickness clubs. Show all posts
Showing posts with label sickness clubs. Show all posts

Friday, June 11, 2010

Is health care price transparency possible without price uniformity?

The Times has an article today about fledgling efforts to introduce price transparency into U.S. health care:
But there has been no easy way for consumers to shop for the best deal on a colonoscopy or blood test. A start-up financed by prominent venture capitalists and the Cleveland Clinic, Castlight Health, aims to change that by building a search engine for health care prices. Patients using Castlight could search for doctors that offer a service nearby and find out how much they will charge, depending on their insurance coverage....

Price transparency could significantly change the way health care is bought in the United States. The notion “seems ridiculously simple and obvious, and in any other industry, you would say, ‘Duh, we already have that.’ But in health care, it’s revolutionary,” said Alan M. Garber, a professor of medicine and the director of the center for health policy at Stanford, as well as an investor in Castlight.

Pricing transparency is better than pricing opacity. But you can't have a truly efficient and cost-effective health care system with price uniformity. The most revealing fact in the Times story is this:
But so far, prices have been very difficult to find because health insurance providers and doctors negotiate rates and often agree not to reveal those numbers for competitive reasons. The Cleveland Clinic, for example, has about a hundred different contracts with insurance carriers, each with a different rate for a given procedure.