Incentivizing Patient Choices: The Ethics of Inclusive Shared Savings

Bioethics 30 (6):597-600 (2016)
Authors
Richard Y. Chappell
University of York
Abstract
Is it ethical to pay patients for selecting cheaper medical treatments? The healthcare system in the United States is notoriously profligate, at least in part because when insurers foot the bill, patients have little incentive to avoid wasteful treatments. One familiar means for dealing with this problem is for insurers to offer reduced co-pays to patients who select cheaper treatments. Would it be ethical to take this one step further, beyond the zero bound, sharing the savings of cheaper treatments by positively paying the patients who select them? Schmidt & Emanuel recently proposed this policy of ‘Inclusive Shared Savings’. This article examines various ethical objections to the idea.
Keywords inclusive shared savings  medical ethics
Categories (categorize this paper)
DOI 10.1111/bioe.12267
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

Our Archive


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 35,865
Through your library

References found in this work BETA

No references found.

Add more references

Citations of this work BETA

No citations found.

Add more citations

Similar books and articles

Just Savings and the Difference Principle.Steven Wall - 2003 - Philosophical Studies 116 (1):79-102.
A Critique of Using Age to Ration Health Care.R. W. Hunt - 1993 - Journal of Medical Ethics 19 (1):19-27.
Shared Decision-Making, Gender and New Technologies.Kristin Zeiler - 2007 - Medicine, Health Care and Philosophy 10 (3):279-287.
Three Views of Tax.Edward Mccaffery - 2005 - Canadian Journal of Law and Jurisprudence 18 (1).

Analytics

Added to PP index
2016-04-02

Total downloads
32 ( #200,175 of 2,293,817 )

Recent downloads (6 months)
8 ( #62,471 of 2,293,817 )

How can I increase my downloads?

Monthly downloads

My notes

Sign in to use this feature