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Avoiding the Tragedy of the Commons in Health Care: Policy Options for Covering High-Cost Cures
RAND Corporation Link to more items from this source
May 3, 2016

"[The authors] discuss the risk that strategic behavior by health insurers could unravel the market for curative therapies for chronic diseases. Because the cost of these cures is front-loaded but the benefits accrue over time, insurers might attempt to delay treatment or avoid patients who require it, in the hope that they might change insurers. The authors discuss policy options to remedy this potential free-rider problem through alignment of incentives at the patient level, coordination among payers, and government intervention. They present a framework to analyze policy options and real-world case studies."

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