First step is to require any hospitals that enjoy Non Profit Tax Benefits, to publish monthly all of their actual General Ledger transactions and invoices.
You are non profit. You are being subsidized and often funded by taxpayers. We are your stakeholders, along with patients. There ain't a damn economic thing that you can't show.
And no, Medicare Cost Reports are not comprehensive accounting reports.. They are pretty much useless for this.
Second step is to make all NDAs and Confidentiality Agreements for any financial healthcare agreement, illegal
It's beyond insane that US Senators, and POTUS, can't see what the federal government is paying for medications being provided through TriCare.
With these sources of data, then, and pretty much only then, could proponents of M4A begin to figure out a plan
This is such a clear-eyed breakdown, Mark especially #6 on hospitals having zero clue what procedures actually cost them (that derivative accounting point is brutal).
You’re for universal coverage but you’re not sugarcoating the execution nightmare, which makes total sense coming from someone who actually fixed pricing opacity with Cost Plus.
Real question: what’s one practical first step you’d take to force real cost transparency across the system before going full M4A?