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Reaction to lack of quality private healthcare data

Association of Medical Insurance Intermediaries

On the Office of Fair Trading’s report on private healthcare stating the “lack of access to information on quality and price for consultants produces a situation where both the patient and insurer cannot differentiate between consultant performance and fees in order to judge whether they represent value for money” the Association of Medical Insurance Intermediaries (AMII) makes the following comment:


“How do you measure quality and, more importantly, should private medical insurers restrict a patient’s access to higher quality because of price.  At the moment most insurers can only collect data around price.  If insurers do have data about quality then they should be willing to share that data with the customer – but how can an insurer justify sending a customer to a particular consultant instead of one that may have been recommended by the policyholder's GP without backing this up with hard facts and figures? They could help the patient find a range of specialists but GPs should be the ones that discuss this with the patient so the onus is on private hospitals to have good relationships locally with their GPs.”

Private medical insurance news: 31 December 2011