The Road To Affordability: How Collaborating At The Community Level Can Reduce Costs, Improve Care, And Spread Best Practices

Health Affairs November 14, 2017
Elizabeth Mitchell

For months, the US public has watched Congress debate the future of the US health care system—or more accurately—the future of the Affordable Care Act. But despite all we heard about deductibles and bronze versus silver plans, the debate in Washington was focused on the wrong thing. We can’t have affordable insurance until we have affordable health care, and we won’t have affordable health care until we address the drivers of rising health care costs.

The reasons that health care, and by extension, health insurance, costs so much are primarily: prices, waste, and the perverse incentives of our payment system. If policy makers, health care professionals, and other stakeholders are serious about making care more affordable—and accessible—we’re going to have...

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