Pay insurers and health systems for cancers prevented and caught early
Health systems earn from treating cancer, not preventing it. Paying them for lower cancer incidence and earlier stage in their population would flip the incentive.
Capitated systems could receive outcome payments tied to population-level stage distribution, HPV vaccination coverage, and smoking prevalence, adjusted for risk. Propose a payer pilot with a prevention outcomes bundle.
- Prevention we already have is not deployed · Around four in ten cancers are preventable with tools we already own: vaccines, tobacco control, weight, alcohol, sun and infection control.
- Incentives reward me-too drugs and marginal gains · The system pays the same for a drug that adds two months as for a cure, so companies race to copy rather than to cure.
Pages like this
not linked directly; found by shared links- PersonKatie Couric
Shares Stage shift, Prevention we already have is not deployed.
- IdeaSocial impact bonds for cancer prevention, repaid from avoided treatment costs
Shares Incentives reward me-too drugs and marginal gains, Prevention we already have is not deployed.
- InstitutionKaiser Permanente Division of Research
Shares Stage shift, Prevention we already have is not deployed.
- Key paperDoll and Hill 1950: the case-control study that tied smoking to lung cancer
Shares Incentives reward me-too drugs and marginal gains, Prevention we already have is not deployed.
- Key paperAlcohol caused an estimated 741,000 cancers worldwide in 2020
Shares Incentives reward me-too drugs and marginal gains, Prevention we already have is not deployed.
- Key paperFifty years of the British Doctors Study: smokers lose ten years of life, quitting gives most of it back
Shares Incentives reward me-too drugs and marginal gains, Prevention we already have is not deployed.
- IdeaA whole-population cancer interception programme: risk-stratify every adult, detect and intercept early
Shares Stage shift, Prevention we already have is not deployed.
- Key paperNLST: yearly low-dose CT scans cut lung cancer deaths in heavy smokers
Shares Stage shift, Prevention we already have is not deployed.