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28. Digging Into My Modest Election-Year Proposal For Healthcare Reform: Part 1—The Importance Of Price Reform

Price reform is a critical component of healthcare reform. I propose that the nation adopt a national and/or regional uniform price-setting system for hospitals and providers. It would save tens of billions, if not hundreds of billions, on services and administrative costs.

About The Podcast:

Millions of Americans feel confused and frustrated in their search for quality healthcare coverage.

Between out-of-control costs, countless inefficiencies, a lack of affordable universal access, and little focus on wellness and prevention, the system is clearly in dire need of change.

Hosted by healthcare policy and technology expert Marc S. Ryan, the Healthcare Labyrinth Podcast offers accessible, incisive deep dives on the most pressing issues and events in American healthcare.

Marc seeks to help Americans become wiser consumers and navigate the healthcare maze with more confidence and certainty through The Healthcare Labyrinth website and his book of the same name.

Marc is an unconventional Republican who believes that affordable universal access is a wise and prudent investment. He recommends common-sense solutions to reform American healthcare.

Tune in every week as Marc examines the latest developments in the space, offering analysis, insights, and predictions on the changing state of healthcare in America.

About The Episode:

On this episode, Marc discussed price reform as one critical component of healthcare reform. He proposes that the nation adopt a national and/or regional uniform price-setting system for hospitals and providers. It would save tens of billions, if not hundreds of billions, on services and administrative costs.

Key Takeaways:  

The three critical components of healthcare reform are price reform, affordable universal access, and pivoting from utilization management to true care management.

Prices are out of control in the U.S. They are not based on real costs and inflate terribly each year.

The nation should adopt a national and/or regional uniform price-setting system for hospitals and providers. This is what other developed nations do and there are precedents even in Medicare and Medicaid today.

More modest proposals would cap commercial prices at certain levels against Medicare prices or other commercial benchmarks.

My proposal, and even more modest ones, would save tens of billions, if not hundreds of billions, on services and administrative costs.

Drug price reform is needed as well and the Medicare drug price negotiations serve as a great model for the entire system.

Other reforms, such as site-neutral policies and price transparency, also are needed.

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The Healthcare Labyrinth: A Guide to Navigating Health Plans and Fixing American Health Insurance

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