For care that FQHCs can’t handle, it’s time to standardize what non profit hospitals are required to do. They are all required to offer Financial Assistance Plans to patients. As part of this alternative to reinstating the PTC, it’s time to require them to standardize those plans in a manner that supports those who lost the PTCs. 1st is pricing that is set at 150% of Medicare. Along with other pricing considerations for Jcode and hospital administered meds and standardized pricing for extended hospital stays. . 2nd is a financing plan that is also standardized. Make it the same for every hospital so that it is easy for everyone to understand and to know what to expect. 3. The patient financial thresholds should be standardized as well. It shouldn’t be different by hospital. Notice I have not mentioned insurance premiums at all. I don’t know the exact dollars that would be spent if the PTC was reinstated. So it’s hard to set numbers for everything right here. Plus there is a lot I’m sure the CBO would want to say. Hopefully there is a way we can make premiums paid directly to the treasury. Rather than having pre authorizations, we can use trad Medicare standards and that infrastructure to audit for fraud and abuse Bottom line for all of this. We don’t need the big insurance companies any more. We can use FQHCs and clinics and others that are qualified and want to opt in to the same pricing (I should have included them in the previous tweet ) We can finally get value for the taxpayer subsidies that Non Profit Hospitals get. And BTW, if it were up to me, I would require them to publish every single contract they sign. It’s our money subsidizing them. Nothing they have contractually is proprietary. That’s a lie the big carriers force on the entire industry As always, I know this is far from perfect. So all comments are welcome