Get Spending Under Control
(there are more of these in the Step One)
We have to get a handle on the fraud, waste, and abuse within the Centers for Medicare and Medicaid Services (CMS). This will be handled through the Operation Overhaul program. Read more here.
Implement smart changes to Medicaid. Read more here.
Implement smart changes to Medicare. Read more here.
Encourage insurers to explore value-based insurance design to minimize overuse without discouraging necessary care.
Continue to allow Americans to legally access prescription drugs from Canada, including insulin.
Continue to allow Medicare to directly negotiate drug prices with pharmaceutical companies, allowing them to negotiate lower costs for certain high-expenditure drugs covered under Medicare Part B and Part D.
Assess and fix the 340B Drug Pricing Program, which requires drug companies that participate in Medicaid to sell certain drugs at discounted prices to qualifying hospitals. This has enriched hospitals at the expense of the consumer.
Promote tough competition among drug manufacturers. Don’t allow monopolistic pricing beyond what patent/exclusivity sets forth.
Protect consumers from unfair balance billing. Encourage states to limit hospital prices for out-of-network emergency care.
Protect consumers from unfair balance billing for air ambulances, helicopters, and ambulances that travel by road.
Instruct the Federal Trade Commission to crack down on monopoly providers in local health care markets.
Support biotech startups and public-private initiatives that develop superior drugs, vaccines and diagnostic tests. They are making remarkable advancements and spark innovation and competition.
Support tech firms that are working on innovative ways to deliver medical care to patients.
Embrace digital communication and analytics, as well as remote and computer-assisted diagnosis and treatment.