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Data standards adopted across the industry and trading partners similar to Germany.
Hospitals need to actually have systems and processes to know what they actually order, how much they have, and where it is; instead of relying on wholesalers.
Single bills from hospitals and they need to receive fines for everytime they incorrectly bill a customer, especially when mailing the bill. This will force their systems and technology to get it right.
Higher risk patients based on lifestyle choices need to may sin-taxes (more) given their risk profile.
Price transparency isn’t a new concept. Just seems to never go anywhere. If we can get that, I think we solve healthcare.
Regulation of margin as it’s ridiculous here - healthcare players across the continuum make double the % profit of the Fortune 500. Time to cap the cost - do that and force over supply out and bottom line costs. It’s true the US subsidises the pharma and med device companies as examples - the rest of the world has contained them and their costs, maybe time to get tough here ?
PBMs have far too much negotiating power right now as a two sided business. Look into Supreme Court ruling Rutledge vs PCMA, depending on how that rules PBMs may be knocked down a step at least initially leading to potential reforma
Price regulation - cap the profit margin. Then look to other working health systems NHs, Aus, Swiss to come up with a hybrid public private system.
Eliminate mid level independent practice
Conduct mid level flexner report
First thing first. Break the hospital chains into pieces and re-reform from stretch.
It always generates a big resistance against any healthcare reforms.
Mentor
No major changes will come before the 2022 election if republicans keep the senate, so it’s likely a non-issue.
Exactly. What is the point in this exercise? The Dems would also need to get their moderates on board, which is a big ask, and unlikely.
If they take power of the Senate in '22, I think they'd focus on bolstering the ACA vs. The public option. If they require purchasing insurance again, they're toast, so they need to walk a tight rope.
Regardless, most spending is by the over 65 crowd so the public option is kind of a moot point imo. We already have Medicare which secures everyone in their sickest years.
Mentor
All of this. Remember, the ACA was an entire revolutionary new program, albeit cut short by the Republicans.
We need an overhaul of our healthcare ecosystem, starting with the insurance system.
Biden needs to appoint Bernie as head of healthcare reform.
To answer the specific question, I think the financing approach is fine but the oversight and administration is a wasteful train wreck.