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View Diary: Cigna, Merck in "Performance-based Contract"--a good thing? (14 comments)

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    if, as is the case with CIGNA, their customers are all people who work at good paying jobs, are not elderly and can afford health insurance, putting them in a category of people most likely to comply with a treatment regimen.  Makes you wonder what kind of pressure employers might bring to bear on employees taking these drugs - the higher cost will no doubt be passed on to them.

    OTOH, the government funded plans and providers - currently where the elderly, unemployed and poor people are clustered, and compliance with treatment is much more difficult to accomplish, doesn't get to negotiate prices with prescription drug companies.   And if they did so under a plan like this one, they would lose, simply because they're stuck with all the patients the private insurance company doesn't want.

    No, plans like these punish providers  who can least afford it - thos who have much more difficult patient populations to manage and offer them no means of improving treatment compliance.

    A conservative is a man with two perfectly good legs who, however, has never learned how to walk forward. FDR

    by Betty Pinson on Fri Apr 24, 2009 at 03:50:22 PM PDT

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