The Problem
The U.S. healthcare system prioritizes profits over patient outcomes, driven by a fee-for-service model that rewards volume over value. As a result, patients often receive fragmented, symptom-based care instead of holistic, root-cause solutions. This approach leads to higher costs, poorer health outcomes, and widespread patient dissatisfaction.
The Solution
A shift to value-based care is essential — a system where providers are rewarded for improving patient health, not just for the number of procedures performed. By focusing on patient outcomes and cost-efficiency, we can create a healthcare system that is patient-centered, holistic, and sustainable.
Top Five Areas of Focus for Legislative Change
1. Medicare and Medicaid Reform: Expand value-based payment models and increase incentives for providers to focus on outcomes rather than volume, paving the way for a more efficient, cost-effective system.
2. Payment and Incentive Restructuring: Shift away from fee-for-service payments toward capitation and pay-for-performance models, rewarding providers for achieving quality care and better patient outcomes.
3. Increased Transparency and Data Sharing: Mandate data interoperability and public reporting of quality metrics to empower patients with better information and support coordinated, holistic care.
4. Expanded Access to Preventive and Holistic Care: Increase funding for primary care and preventive services, and remove barriers to telehealth and alternative care models like integrative and functional medicine.
5. Pharmaceutical Pricing Reform: Allow Medicare to negotiate drug prices and promote value-based drug pricing, ensuring that medication costs are tied to patient outcomes and effectiveness.
Call to Action
With enough voter interest and advocacy, we can drive the legislative changes needed to create a healthcare system that prioritizes what truly matters: patient health, quality care, and sustainable costs.