The fact that the administration is looking for opportunities to cut costs is great. These changes were needed. But they are missing an important piece. The expectation that giving insurance companies more leverage in certain negotiations will lead them to passing on any cost reductions to plan holders or anywhere among their hundreds or thousands of subsidiaries, is ridiculous. That is not their culture. Remember. These are the same companies , when they were on the other side, tiering and other similar rules were passed for their PBMs, they sued and found other ways to charge new fees. The administration has to go much further and make sure these changes are not gamed. Not just by the insurers. Also by the hospitals. They need to remove all confidentiality clauses from ALL contracts signed between insurance companies and at least non profit hospitals, if not all providers. And require all of these contracts to be posted right next to the pricing hospitals post on their website. With the fines moved to 1m dollars per day for non adherence. Make it so it’s not a business decision to not adhere The ONLY way you are going to know the carriers and hospitals followed through and adhered by the rules, without gaming them , is by making them publish their contracts. With pricing. Terms. Everything. Taxpayers are subsidizing both sides. Insurance conglomerates get 70 pct of their revenue from taxpayers. Non profits keep billions that would go to taxpayers. They literally have more in cash than Medicare has in cash reserves. We all have every right to see those contracts. This will increase competition and cut costs more than anything.(Mark Cuban)