What would happen to healthcare delivery if all the anti-competitive regulation—the ACA, HITECH, CON laws, healthcare expense deductions—all disappeared.
Imagine what would happen without all that regulatory capture.
How would healthcare be delivered?
What would happen to your organization?
Your compensation?
Your job?
Your patients?
Imagine that place.
Now go there.
Because that’s where you want to be.
Because that’s where we’re gonna go.
The regulations won’t go away on their own.
But the money used to pay for them will.
Third party payments for each patient will be based on a global cap—a total amount of money out of which the costs for that patient’s care over a specific period of time will be deducted.
It’ll be adjusted for illness or demographics perhaps, but it’ll still be a hard cap.
Here’s your money to pay for your patient for the month, now go provide care.
Oh, there’ll still be rent-seeking and jobbery.
And some supervision.
But in its essentials, it’ll be like practicing with no regulations at all.
It’ll have to be.
As the capital costs of care delivery—the gowns, the meds, the medical school education—go up, innovation in care delivery is the only way get overall care costs to go down.
And innovation cannot be achieved through regulation.
With no innovation global costs will keep on rising.
But the global cap won’t. It can’t. There’s not enough money.
And you can’t cost-shift to the patient—they’re tapped out too.
Without innovation, no one will be able to afford to take on the risk of assuming the responsibility of providing care.
So innovation will have to be allowed.
Explicitly or implicitly, it’s coming.
Healthcare purchased based on the value generated by each intervention.
That’s the world of tomorrow.
Here’s your money.
Get the job done.
Pay for inefficiencies out of your own pocket.
With or without you, that’s where we’re gonna go.
Get there first.
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