Governor Kasich on Health Care

Governor Kasich seems to want to replicate the success he has had in Ohio with health care, this time nationwide.  Basically he wants to get the whole health industry involved in being concerned about each other's costs to generate a health system that is incentivized to save money rather than spend it to profit.  In what Kasich calls patient centered primary care, all insurers work to incentivize doctors and other medical professionals to treat the patient's issues with preventative medicine practices while reducing as much of the costs as possible, but equal or greater quality of care by rewarding them in some way.  It seems that this is partially done by what Kasich calls episode based payments.  So while doctors are being rewarded for preventive medicine, Kasich wants doctors, specialists, medical device manufacturers and the rest to be rewarded in some way too to incentivize even more savings and higher quality.  This seems to come in the form of insurances rewarding a higher payout to doctors who save them money for conducting a procedure or operation in a way that saves the insurance company money, but is of equal or greater quality that otherwise would have been given regardless.

Final Thought:  Kasich's logic is that providers of healthcare in our fee for service model of medicine are incentivized to perform more services to treat the person who is sick rather than keep them healthy.  While the logic is sound Kasich is talking about a total revolution in healthcare.  However, his wording on his site worries me.  While he does say he wants Obama care repealed as it is an undue burden on businesses and that it mistakes treatment of symptoms for treating the problem, his wording indicates he is in favor of another Federal grab to interfere with healthcare.  I don't know, maybe it is just me.  I like where he is going, but I fear the idea of government getting involved more to create this change in our system.  So I personally think Governor Kasich should stay in Ohio as governor and perfect this model so that it can be replicated by other States rather than risk this model on the whole country when it seems that Ohio is still revising and implementing this new form of health care system (based this opinion on the articles he linked to on his site).