The Healthier People through Healthier Markets proposal targets 10 key areas:

Support consumer-centric expansion of home-based advanced care through value-based care and payment models.
Bring much-needed transparency to private equity firms' monopoly power in air ambulance, emergency and certain specialty services.
Advance site-neutral payments to defend consumers against having to pay more for the same services depending on the site of care.
Support patients' choice of telehealth when clinically appropriate.
Address the harms caused by the dialysis duopoly by preventing its further expansion, removing barriers to care alternatives that are better for patients and curbing the use of charitable structures that redirect resources to fortify the duopoly.
Stop consolidated health systems from using their monopoly position to stifle negotiation and innovation.
Accelerate the availability of prescription drug biosimilars.
Stop drug manufacturers from engaging in patent games that distort the system to maintain monopoly profits.
Reform the system for provider-acquired drugs.
Address the ways in which drug manufacturers have abused charitable structures to protect their monopolies rather than help patients.

"When robust competition exists in our health care system, negotiations between private-sector entities work to encourage innovation, quality improvements and more affordability," said Matt Eyles, president and CEO of AHIP. "But increasingly limited competition in certain health care markets often is leading to unsustainable price increases and fewer choices for patients and consumers.

Instant Insights /

AHIP's policy roadmap targets improved access, affordability

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