Letters New commissioning formula

Dismissing patients’ past healthcare cost seems premature

BMJ 2012; 344 doi: http://dx.doi.org/10.1136/bmj.d8174 (Published 04 January 2012) Cite this as: BMJ 2012;344:d8174
  1. Hendrik J Beerstecher, GP principal1
  1. 1Canterbury Road Surgery, Sittingbourne, Kent ME10 4JA, UK
  1. hendrick.beerstecher{at}nhs.net

The models for health expenditure at practice level presented by Dixon and colleagues have impressive predictive power.1 The approach and selection of variables seems to be logical and sensible. However, the authors exclude historic healthcare cost, a powerful predictor of individual future healthcare cost, on the basis that its inclusion would either be a perverse incentive for …

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