Universal HealthcareBy NextBestFit
Phase 5: Stabilize & govern · Step 5.1

Set a spending growth target

Annual, starting Year 5 · Payment Rates Board; Congress (veto)Discuss this step
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Task 5.1.2 of 3

If the projection exceeds the target, recommend fee-update reductions, budget growth limits, or formulary actions, which take effect unless Congress votes them down.

Who does it
Rates Board
When
Annual
Trade-off

Recommendations that take effect unless vetoed limit lobbying but reduce democratic control.

Part of: Set a spending growth target

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.