Facilitating the Transition to SecureChoice:
• Mandating that every person be covered for at least inpatient and chronic illness care. “Inpatient” includes major interventional procedures in outpatient settings.
• Establishing income-based subsidies, preferably with long-term congressional commitments, operating behind the scenes to ensure affordability and that will consequently subsume much of Medicaid
• Medical liability reforms to ensure fast compensation without the need to prove negligence for patients experiencing preventable adverse events. Corporate negligence suits can be brought against CDTs that pay many such awards without attempting to improve processes to avoid such events
• Private reinsurers offering coverage to CDTs for such “liability claims” and for high cost episodes will seek to identify the “positive deviants”—those CDTs who have learned how to reduce the rate and severity of such problems
• Shifting graduate medical education funding from a hospital reimbursement base to competitive grants provided to training programs, many of which may be entirely focused on ambulatory care and be separate from medical schools.
• Establishing a reinsurance pool that pharmaceutical and other firms can buy into to reduce their risk that their innovative products are overtaken by better ones. This will allow them to reduce marketing efforts intended to sway physicians and build brand loyalty.