Martin Gaynor

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Health Care's Crushing Lack Of Competition

Martin Gaynor, Farzad Mostashari and Paul Ginsburg | Forbes | June 28, 2017

No matter how it resolves, the fiercely partisan debate over repealing and replacing the Affordable Care Act will not solve America’s true health care crisis. Indeed, a key reason why expanding coverage is so hard is that health care services cost so much, making insurance premiums unaffordable to many. Driven by lack of competition, ever higher prices are being paid to hospitals, doctors and insurers without leading to better outcomes. It’s time to implement a competition policy for health care before Americans crumple under a system that is devouring family and government budgets...

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I'm OK -- You, Maybe Not So Much

It is widely agreed that competition, or lack thereof, in health care is a problem.  The Wall Street Journal recently showed how Viagra and Cialis prices seem to move -- up, of course -- in lockstep. USA Today found Walgreens charging 1237% more than Costco, for the same drug.  Economists like Martin Gaynor have been discussing problems with competition in health care for years. The Harvard Business Review just published a lengthy article on the problem. But, it turns out, we may be ignoring an important competition that has real impacts on our health: with each other...

Reform Update: JAMA Study Suggests Money Alone May Not Be Enough To Improve Performance, Reduce Costs

Melanie Evans | ModernHealthcare.com | September 11, 2013

One goal of health reform, among many, is to break the industry's dependence on incentives for hospitals and doctors to do a high volume of business. Incentives for volume invite wasteful spending, of course, and also can be harmful if patients receive unnecessary care as a result. Read More »