NEJM August 5, 2020
A unified model of delivery, payment, and insurance addresses the weaknesses and inequities of the U.S. health care system laid bare by the Covid-19 pandemic by establishing a single system of universal coverage and resilient payment models where all are entitled to the same benefits and care, where better information supports real-time improvement in health and care, and where transparency empowers the market to improve quality and lower costs through informed choice of population health organizations, providers, and treatments.
The flaws of the U.S. health care system have been exposed and exacerbated by the coronavirus pandemic. This paper posits three underlying causes of our persistent poor performance: flawed assumptions; inadequate...