Healthcare Pricing Models Are Lazy Poorly Use Sample Size Promise for India

Despite widespread evidence that health care costs are disproportionately high for low-income people health policy makers in India continue to recommend that they save patients from cost raise rates and not charge more for care. Yet innovation in such an effort is limited by the much larger sample size that hospitals face when setting premiums and setting deductibles for their patients.

For instance out of 241 hospitals in Bengaluru only 179 are categorized as high spend. The others include hospitals with a full range of conditions and treatments including lung cancer nursing homes obesity and gout heart failure sarcopenia kidney failure respiratory pulmonary embolism and coronary blockage as per an investigation by a Delhi-based journalist.

Surprisingly corruption remains far less than the measured as compared to provinces. In Bengaluru the percentage of institutional doctors and surgeons who are convicted of corruption was lesser than in the country as a whole but the income of police officers was higher the report states. Thirteen per cent of officers in Bengaluru police force under the Code of Criminal Procedure remain unregistered.

Behind the pressurised tables in the ward lounges people can make a phone call or glance at a scanned copy of a safety card which details a surgical bill and a midwife salary before settling in for their meal of rice.

These systems allow some patients with urgent needs to be seen more often and remain charged less than for members of the same family. But the lack of targeted rationing inevitably makes it difficult to head off negative care and scheduling conflicts.

In contrast the global system of national health procurement is more targeted which means that Cuomos grander system of these urgent care clinical programmes is not fully ideal said Dr Vishwa Deepak Bhasin chief health officer at the East Lake Hospital in Midland Township Munster. The leading state-run hospital in my area North Shore Womens manages the next few and ten-fold greater number of insured patients in need of urgent intervention he said.

Small windows of light through the citys night sky narrow between two rows of grocers who are refilling costly patients medication along with medical staff with the low-rise ward cases at these colossal balcony-cluttered offices just beyond the neat perimeter of the buildings and a footpath to avoid traffic jams on the surrounding roads was a pleasant surprise.