The Insightful Leader

Insight Unpacked S2E6 | When a Healthcare Expert Becomes a Patient

7 snips
May 27, 2025
A healthcare economist shares his personal battle with bladder cancer, revealing the unexpected complexities of the medical system. The discussion highlights the challenges of navigating healthcare costs and making informed decisions amidst a misaligned system. There's an eye-opening look at the pitfalls of relying on online reviews for outpatient facilities, emphasizing the need for focusing on surgeon quality. The emotional journey culminates in the joy of receiving a clean bill of health, reinforcing the importance of regular checkups.
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ANECDOTE

David Dranove's Cancer Diagnosis

  • David Dranove discovered blood in his urine while visiting family and waited for his scheduled urologist appointment.
  • The diagnosis came quickly after tests: bladder cancer, triggering a mix of optimism and acceptance.
INSIGHT

Weak Cost Incentives in Insurance

  • Insurance cost-sharing structures often fail to incentivize cost-saving choices for patients.
  • With only 10% coinsurance, Dranove chose convenience over cheaper CT options, costing the employer more.
ADVICE

Advocate for Reference Pricing

  • Use reference pricing insurance models to better align patient incentives with system-wide cost savings.
  • Patients save more by choosing less expensive providers under flat fee plans, benefiting all stakeholders.
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