Innovations in care delivery and payment methods may help improve the quality of care and slow medical inflation, but they are likely insufficient in countering the magnitude of healthcare’s rising costs. To reduce spending in a socially responsible way requires an informed public voice.
The title “Common Cents” reinforces the message that many people share in the cost and the benefit of health insurance (our 'common cents'). This is the appropriate perspective for tackling one of the most challenging aspects of health care today: when – if ever – is a medical test, treatment or device too expensive to be covered under the umbrella of health insurance? What is a responsible way to balance clinical effectiveness with the cost? Who should make those decisions and what should be taken into account? A CHCD op-ed reinforces this topic.
CHCD’s Common Cents Work
A Common Cents Approach to Health Care, Spring 2014 – CHCD conducted several intensive half-day discussions with the general public focusing on the over-use of ineffective or unnecessary medical care. Four provocative case studies illustrated the issue and were the centerpiece for the discussions:
- Elective early deliveries
- MRIs for uncomplicated low back pain
- Surgical vs. medical approach to treating knee injuries
- Using the ICU for dying patients
Read the Common Cents Summary Report. Marge Ginsburg also presented these findings at the annual summit of the Center for Value-Based Insurance Design at the University of Michigan in October. Watch the video. The findings from this project are being used to help inform a more extensive project on reducing low-value care.