By NextBestFitPhase 4: Wave 4: everyone · Step 4.4
Coordinate with continuing payers: workers' comp, auto, VA, TRICARE, IHS
Years 1–4 · UHA; state workers' comp agencies & insurance regulators; VA; Defense Health Agency; IHS & tribesDiscuss this step
How other countries handled this same piece of implementation, what happened, and what it means for this plan.
Side by side
| Country | Approach | Result | Lesson for this plan |
|---|---|---|---|
| This plan (U.S.) | Several payment systems continue alongside UHP. UHP pays first for every resident and recovers costs from workers' compensation and auto/liability insurers. Workers' comp ($55.1B) and the medical portion of auto and property insurance ($55.3B) continue. The VA, military health system, and IHS remain delivery systems ($306.8B in federal programs). | ||
| New Zealand | ACC no-fault scheme covers all injuries regardless of cause, replacing personal-injury lawsuits. | Simple injury compensation; workers' comp and auto merged. | Folding injury systems together is possible, but loses some employer safety incentives. |
| Canada | Provincial plans recover costs from workers' compensation boards for work injuries. | Patients get care first, payers settle later. | Pay first, recover later. |
New Zealand
- What they did
- ACC no-fault scheme covers all injuries regardless of cause, replacing personal-injury lawsuits.
- What happened
- Simple injury compensation; workers' comp and auto merged.
- Lesson for this plan
- Folding injury systems together is possible, but loses some employer safety incentives.
Canada
- What they did
- Provincial plans recover costs from workers' compensation boards for work injuries.
- What happened
- Patients get care first, payers settle later.
- Lesson for this plan
- Pay first, recover later.
More precedent
- Canada's provincial plans recover costs from workers' compensation boards; New Zealand's ACC covers all injuries through one no-fault scheme.