Catalyst for Payment Reform May 23, 2022
Purchasers, brace yourselves for a radical idea: the time has come for state governments to restore balance, competition and affordability to health care markets. Recognizing that regulation is usually considered anathema – not remedial – to market functionality, how could this be?
Market-based Interventions Haven’t Delivered Enough
Purchasers and health plans have tried for decades to overcome failures in commercial health care with market-based interventions. Initially, the answer seemed to lie in turning plan members into activated health care consumers who would shop for doctors the way they shop for toasters. Purchasers and insurance carriers pursued this goal by providing members with access to provider price and quality data, and by giving them more financial “skin in the game” through...
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