To: Bluegreen who wrote (7640 ) 11/4/1998 5:43:00 PM From: Robert K. Read Replies (1) | Respond to
On point but off point. I would pay, most people would pay if difficult circumstance. My point capitation. If diagnosis is pneumonia, and medical plan pays say 10,000 total per treatment, or say pays 1,000 per day treatment, would hospital attempt to limit usage. I personally feel strongly that the best treatment should be given, I also think the ins. plans (many times) are more concerned with the cheaper treatment vs the better treatment. In other words if their cost is reduced by letting some percentage of patients go into multiple organ failure and associated costs incurred vs blanket coverage with say a neuprex. If their costs are reduced by the MOF group, sad to say they might just attempt to justify the mof group. I am not saying the mof type group would be cheaper than neuprex. Thats where pharmacoeconomics come in.
