JAMA Network | JAMA Internal Medicine | A 300-Year-Old Solution to the Health Care Crisis.
Of note, I think when you click on the link above, you will have to download the PDF.
I remember reading this article abut the time it came out. Though I don’t think it necessarily has all of “The Answers”, it does bring up some interesting points. I’ve often why some health insurance plans won’t pay for some preventive care when it would benefit the patient. When I’ve asked colleagues this the answer I often get is “because the patient will be on different insurance [ie, medicare or a managed care product from a private insurance].”
However many private insurances also have a managed care product for seniors. people may not ‘graduate’ into a plan from insurance they have while working. However there are people that might go from Having Harvard Pilgrim Health Care to AARP’s program (through united health care). however, some might go from United healthcare to HPHC’s product (or an equivalent insurance in a different part of the country). This might even things out a bit.
Anyhow, I sugges you read the article and make your own conclusions.