By NextBestFitPhase 5: Stabilize & govern · Step 5.1
Set a spending growth target
Annual, starting Year 5 · Payment Rates Board; Congress (veto)Discuss this step
Total UHP spending per person grows at most at GDP-per-capita growth + 0.5 points. The Rates Board sets fee updates and hospital budget growth to meet it.
Legal vehicle
Universal Health Act, Title V.
Who does it
Payment Rates Board; Congress (veto)
When
Annual, starting Year 5
In this step
Tasks
3 tasks
Trade-offs
2 pros · 2 cons · 1 trade-offs
Risks
2 risks with mitigations
Other countries
4 comparisons
Biggest risk for this step
Costs come in at the costly case. See risks.
Steps that depend on this one
None.
Sources: CMS Innovation Center / RTI (2023)