title: On reducing information asymmetry in U.S. health care.
abstract: Information asymmetry is a significant issue facing the U.S. health care system. In this article, we investigate some methods of reducing this asymmetry. We trace the information asymmetry using the "wicked problem" of the health care distribution system. An information asymmetry reduction method requiring joint responsibilities among health care stakeholders is developed. It is argued that information asymmetry is a contributor to enormous health care inflation. Hence, any reduction in such asymmetry will reduce health care costs. Concepts from both signaling and corrective justice theories are integrated in this article to help reduce the information asymmetry that exists in the U.S. health care system. Getting health care costs in line with other "advanced" nations, is the long-term solution to the wicked problem that currently exists in the U.S. health care system. There is an immediate need for a centralized health care database with adequate provisions for individual privacy. Both processes as well as an outcome-based control system are essential for reducing information asymmetries in the U.S. health care system.
authors.affiliation: a College of Business Administration , University of Detroit Mercy , Detroit , Michigan.
authors.forename: Oswald A J
authors.initials: OA
authors.lastname: Mascarenhas
authors.forename: Ram
authors.initials: R
authors.lastname: Kesavan
authors.forename: Michael D
authors.initials: MD
authors.lastname: Bernacchi
mesh_terms: D002755:Choice Behavior; D003695:Delivery of Health Care / Q000458:organization & administration*; D063025:Health Information Management; D007722:Health Knowledge, Attitudes, Practice; D057220:Health Literacy; D006801:Humans; D011640:Public Policy; D060756:Social Networking; D035502:Trust; D014481:United States