The financial strain on health systems and providers during the COVID-19 pandemic highlights the fragility of our current payment and pricing models. In February 2020, Penn's Leonard Davis Institute of Health Economics (LDI) held a conference, Medicare for All and Beyond: Expanding Coverage, Containing Costs, which included a panel discussion on payment and pricing. Public and private insurers pay strikingly different prices for the same services; one study estimated that commercial health insurers pay nearly 4-5 times as much as Medicare and Medicaid for the kinds of care COVID-19 patients require. The broader issue of payment and pricing will figure heavily in upcoming health care reform debates, and is central to the affordability and sustainability of any proposal.
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