We all know our current healthcare system is broken. It's built on a sick care, fee-for-service foundation. We spend way too much time and money, yet don't always get the benefit of actually being healthy.
But we can also agree the entire system is fixable.
It has the potential to provide amazing healthcare experiences for everyone: doctors, patients, and employers. We can fix it—the hard part is finding consensus about how exactly to do that.
Potential solutions on the horizon?
Even now, Democratic leaders in the House are pulling together a Medicare-for-all bill that is expected to be endorsed by Democratic presidential candidates in 2020.
According to Vox writers Sarah Kliff and Dylan Scott, “We learned these plans are similar in that they envision more Americans enrolling in public health plans. They would all give the government a greater role in everything from setting health prices to deciding what benefits get included in an insurance plan. Experts say all these bills would almost certainly create an insurance system that does better to serve Americans with high health care costs.”
"They would all give the government a greater role in everything from setting health prices to deciding what benefits get included in an insurance plan." — Sarah Kliff & Dylan Scott
The plans can fit into two primary categories:
Replace private insurance with government plans
Allow people to buy into government insurance
But what's the goal?
It appears that these plans aim to control the rising costs of care and the tremendous waste of both time and money, without forcing every single person to pick up the tab at the same level.
And that’s a good thing. But only as long as the cost of care remains transparent, and the care delivered is in the best interest of each individual patient.
According to Vera's President & CEO Ryan Schmid, “There are lots of companies trying to tackle the problem of healthcare. And Vera is uniquely focused on a care model that has aligned financial incentives to ultimately drive improvement in health outcomes for lower total cost of care. And our entire care model is also designed around health as being social, mental, and physical well-being.”
"Vera is uniquely focused on a care model that has aligned financial incentives to ultimately drive improvement in health outcomes for lower total cost of care." — CEO Ryan Schmid
That’s the key: financial incentives that are aligned with driving outcomes and providing the actual care people need.
The year ahead will be massive for the healthcare industry.
The next year will be a big one for healthcare. We’re paying attention as events and legislation continue to unfold. The best thing we can do is stay informed and ask a lot of questions.