By NextBestFitLaunch the wait-time guarantee
Year 1 (registry), Year 2 (enforceable guarantee) · UHA Office of Patient Advocacy; regional officesDiscuss this step
Legally binding maximum waits, monitored in a national registry. If UHP misses the standard, the patient may go to any provider, including opted-out providers, and UHP pays up to 150% of its rate.
Legal vehicle
Universal Health Act, Title III (patient rights).
Who does it
UHA Office of Patient Advocacy; regional offices
When
Year 1 (registry), Year 2 (enforceable guarantee)
One-time cost
$2.0B
Registry and evaluation $2.0B one-time. Voucher payments are inside benefits spending; in the costly case, higher utilization covers this.
In this step
Tasks
5 tasks
Costs & calculations
1 cost items, each with its calculation
Trade-offs
2 pros · 2 cons · 3 trade-offs
Risks
2 risks with mitigations
What changes in the system
3 existing laws, programs, or institutions changed
Other countries
7 comparisons
Cost items
Biggest risk for this step
Wait times rise and the employer-insured revolt. See risks.
Steps that depend on this one
Sources: NHS England (2025); Fraser Institute (2025)