Latest questions:
Trending questions:
Hot questions:
What are the Differences between Healthcare and other Industries?
Healthcare is NOT the Same!
So - Why are Hospitals, Clinics and Medical Offices Not the same as Hotels, Manufacturing Plants and/or Production Assembly Lines, etc?
Your thoughts are appreciated.
Many thanks.
65 months ago
8 answers
Healthcase is more a B2C market with high regulation. Just think about the Food and Drug Administration in the US. Different companies work together to deliver services and the workforce is highly trained. An hospital is structured with different independent departments. Due to the nature of services, poor quality is not accepted, none want to pay less for bad health care solutions.
THE HEALTHCARE DIFFERENCE!
Some folks often opine that banking is more progressive than healthcare. And, by inference many, if not most, other industries may be included as well. Unfortunately, this is an untrue reality.
WHY: Sorry – Like Heisenberg – You can’t have it both ways.
Health insurance is becoming less like real, pro-active insurance and more like a taxpayer “pay-as-you-go” system. Hence, the two current societal opinions:
HI AS A RIGHT: On the one hand, we opine that you can’t buy car or home owners insurance after the accident or fire. But, you can buy Obamacare after the cancer diagnosis. Not insurance at all; but a right.
HI AS A PRIVILEGE: On the other hand, others opine that HI is for the privileged few.
Now, here is my third option:
HI AS A RESPONSIBILITY: Well, I suggest HI is a responsibility. We do need catastrophic insurance but not for routine health maintenance. The better we are at pro-active responsibility – the less expensive HI should be, with patient skin-in-the-game.
Good thoughts.
65 months ago
U.S Healthcare is structurally framed to maximize profits and minimize responsibility. Take the corner market analogy. In this example, the customer is the patient (Jennifer), the grocer is the doctor (John) and then there is a random person tangentially connected to both the doctor and the patient that we'll call Bob (insurance company/payer). Jennifer walks into the market to seek services. While there, the grocer (John) tells Jennifer which products/services she needs with minimal input from Jennifer. Then, when Jennifer checks out, the bill is sent to Bob to pay. Given this framework, the normal free market forces of supply/demand are disrupted.
The problem with this approach is that it allows each party to view this dance from their own perspective. In order for a free market to be truly successful, individual interest must also lead to the greater good. Think 4 way stop-sign. As Adam Smith said, "It is not from the benevolence of the butcher, the brewer, or the baker that we expect our dinner, but from their regard to their own interest." In other words, this system, setup to maximize individual interests, does not lead to either better patient care or higher value (quality/cost).
There's a lot more to it, but that's a start. Hope that helps. --Lee
Healthcare differs from other industries primarily in how revenue is generated (3rd party reimbursement for services provided with no limit on how much volume can be consumed) and also as an industry, it is federally subsidized (Medicare/Medicaid) to be a monopoly (non-profit hospitals) with little to no competition. Quality is an after thought. If you look at healthcare fundamentals, it's similar to a repair operation. Doctors are technicians that either put something in (drugs/devices) or take something out (organs) of the body. It is transitioning to a more quality incentivized model and also more of a direct to consumer, however, it will take years for healthcare to resemble an economic model that is similar to hospitality or manufacturing (think repair). There are many cross-industry best practices that could lift healthcare out of it's "customized" business model, with competition being a major driver.
Health care deals with people life and health where as hotel and entertainment even though deals with humans but not their life and health. Manufacturing and product assembly line deals with inanimate object. Dealing with human life and health is much more complicated compared to other type of job/market field.
Agree; of course.
One growing solution may be private pay medical care for the trivial many [80%] of ills, which is free market capitalism.
But, what about catastrophic coverage for the vital [expensive] few medical instances.
True health insurance to the rescue; not pay as you go ACA.
65 months ago
Healthcare is a complicated business model. I would like to highlight a few attributes.
Business Model
It's primarily a B2C business where service providers' (Hospitals) cost is high. Every staff member needs specialized skills to serve.
Also, like any other service people want low-cost options. In some cases, government and politics derive the cost. Hence, the cost balance factor is very tough.
Regulatory
Needless to say, regulatory agencies play a major role in controlling business operations. But in healthcare, its way too much.
Third Party
Nowadays, Insurance derives the revenue model of healthcare. Its common case that people don't visit to the dentist for basic hygiene unless their insurance covers that.
Having said that, like Banking industry has transformed itself in last decade with the corporate style of customer service, I think healthcare can transform too. Most of the innovation in healthcare is going towards healthcare technologies. Consumer faced, digital innovation is still not directly reaching to the patients like any other industry.
NOPE:
For the B-2-C suggestion as the Corporate Practice of Medicine laws prohibit it.
IOW: Physicians practice medicine - hospitals and clinics, etc., are mere locales and do not.
Moreover, with third party insurance, the C is not the patient; rather the payer is the C.
Otherwise; a few good points. Many thanks.
65 months ago