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Incentivizing Patient Choices: The Ethics of Inclusive Shared Savings.

Richard Yetter Chappell1

  • 1r.chappell@gmail.com.

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Paying patients for choosing less expensive medical care, known as Inclusive Shared Savings (ISS), could reduce healthcare waste. This article explores the ethical considerations of such financial incentives for patients.

Keywords:
inclusive shared savingsmedical ethics

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Area of Science:

  • Bioethics
  • Health Economics
  • Medical Policy

Background:

  • The US healthcare system faces significant spending challenges, partly due to a lack of patient financial incentives to choose cost-effective treatments.
  • Current practices include reduced co-pays for cheaper options, but this study considers a more direct financial reward system.

Purpose of the Study:

  • To examine the ethical implications of a proposed policy, Inclusive Shared Savings (ISS), which involves paying patients to select less expensive medical treatments.
  • To analyze potential ethical objections to incentivizing patients financially for cost-conscious healthcare decisions.

Main Methods:

  • Conceptual analysis of ethical principles related to patient financial incentives in healthcare.
  • Review of existing literature and ethical frameworks concerning shared savings models.

Main Results:

  • The study identifies and discusses various ethical objections to the Inclusive Shared Savings (ISS) model.
  • It explores the potential conflicts between financial incentives and patient well-being or autonomy.

Conclusions:

  • The ethical permissibility of Inclusive Shared Savings (ISS) requires careful consideration of potential benefits against ethical risks.
  • Further ethical debate is needed to determine if paying patients for cheaper treatments aligns with healthcare values.