Phase 3: Waves 2 & 3: working-age adults · Step 3.6

Create integrated care organizations (ICOs)

Years 2–4 · UHADiscuss this step

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Task 3.6.3 of 4

Patients choose an ICO annually; they can see non-ICO providers only for emergencies and the wait-time guarantee.

Who does it

UHA

When

Year 2+

Trade-off

Annual lock-in keeps budgets stable but limits patients' mid-year choice.

Part of: Create integrated care organizations (ICOs)

Provider-run integrated systems can accept a single risk-adjusted global budget for patients who choose them. This preserves the Kaiser/Geisinger model without an insurance layer.

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