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  Richard Karpinski wrote @ May 2nd, 2008 at 5:51 pm

I read Halvorson’s book and came to some conclusions as well

Main news, follow the BIG money to find the BIG savings:
1. Chronic diseases: teach the patients to care for themselves and provide ever more incentives for them to do so until the incentives don’t pay for themselves.
2. Fund basic and applied research for cures with a twentieth or more of the costs currently incurred; don’t leave that to big pharma whose incentives are not to cure but to sell drugs.
3. Coordination: require electronic medical record use to get paid.
4. Guidelines: require to record outcomes to support evidence based decision making for both providers and consumers.
5. Provide for inexpensive testing and rapid deployment of successful proposed improvements from every source.
6. Record patient practices in diet, supplements, exercise, and even meditation to correlate with outcome data.
7. My favorite: make the whole process transparent to consumers, providers, and payers.

I claim outcome data will work better than info and rewards from pharma detailers does at promoting successful health care.

Nitpickers note confusing parts above like “Sumo wrestling” and other aspects of the “new market”.

Nitpickers find typos: would be create -> would be great, Medicare & Medicare?, unites -> units

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