Would ‘Medicare for All’ really save money?

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Would ‘Medicare for All’ really save money?
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Every year, health care eats up a huge and growing chunk of America’s GDP and “Medicare for All” supporters love to tout its ability to bring that dizzying price tag down. But would it? Is that even possible in today’s political reality?

on this subject, so I apologize for a somewhat long answer. There’s definitely evidence that consumers who have incentives to care about prices benefit from transparent prices — meaningConsumers who used New Hampshire’s health care price website for medical imaging saved an estimated 36 percent per visit. Safeway linked a reference pricing design with a price transparency tool, and its employees saved 27 percent on laboratory tests and 13 percent on imaging tests.

So in my paper, I argue that the primary way price transparency will create benefit is by helping employers drive reforms — by easing their ability to use reference price models, better monitoring insurers, and designing their benefits so employees have an incentive to use lower-cost providers.providing price information to patients via price transparency tools hasn’t changed behavior much.

Reference pricing is promising — because patients switch providers, and higher-priced providers appear to lower their prices in response. Since patients rely so heavily on the recommendation of their physicians, I’d been hopeful about physician-directed price transparency, but existing evidence doesn’t seem to bear this out. This may very well be another area where aligning financial incentives is crucial, so physicians share in the savings if they steer patients toward more efficient providers.

and let them choose how they want to finance their health care, rather than sending subsidies directly to insurance companies or health care providers.I think there is bipartisan agreement around the need to move away from fee-for-service arrangements, but the devil is in the details.

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