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Healthcare costs and pricing vary dramatically across global markets with procedures costing up to 900% more in some countries than others, often with little relation to the actual cost of providing the service. Staggering differences in pricing reflect a healthcare pricing ecosystem driven not by true costs but by what markets will bear.
Our panel of experts - including host, Mark Gordon, Professor Lindsay, Gary Burden, and special guest Dr. Andy Poh - dive deep into the shadowy world of healthcare costing. They reveal how providers often lack understanding of their true costs, leading to a system where some procedures are wildly overpriced while others are provided at a loss. This lack of transparency creates an environment where insurers, providers, and ultimately patients participate in a market that fundamentally rewards inefficiency.
The conversation explores how "cherry picking" occurs throughout healthcare as providers gravitate toward high-margin procedures while avoiding preventative care. We examine how physicians in some markets receive up to 35% of procedure costs as personal fees, driving prices ever higher without improving outcomes. Most importantly, the panel outlines practical solutions that could transform healthcare pricing: outcome-linked capitation models, bundle pricing for clinical pathways, and transparent costing methodologies that could make healthcare more equitable worldwide.
For anyone frustrated by rising healthcare costs or seeking to understand the true economics behind their medical bills, this episode provides crucial insights into a system desperately in need of reform. The future of healthcare depends on our ability to align pricing with value - are we ready to demand better?

Next week we'll be focusing on tackling the UK NHS waiting lists and how this can be done by grasping demand and capacity and a full awareness of what's available

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Note: All views and opinions expressed in this podcast are the individual views of each guest and are not necessarily shared or endorsed by HSi or other guests. This podcast was created to enable our guests to share their personal opinions about important healthcare topics in a dynamic and hopefully insightful conversation.