Phase 2: Wave 1: seniors, near-seniors, and children · Step 2.5

Launch the wait-time guarantee

Year 1 (registry), Year 2 (enforceable guarantee) · UHA Office of Patient Advocacy; regional officesDiscuss this step

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Task 2.5.5 of 5

Create clinical triage: urgent cases are categorized by clinicians, and the guarantee runs from the triage decision.

Who does it

UHA / providers

When

Year 1

Trade-off

Clinical triage prioritizes urgent cases but creates incentives to classify cases as non-urgent to avoid penalties.

Part of: Launch the wait-time guarantee

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.

This step changes 3 existing laws, programs, or institutions. See the list.