I hope you have a deep understanding of how the health care system here works. Employers that don't contribute meaningfully in quality health coverage for their employees would be required to contribute a percentage of the payroll towards the costs of the national plan. Some exceptions, for instance those not meeting the revenue thresholds mostly for small businesses would exist. For once, hospitals and providers will have to provide reports on costs, quality, and data in details. Plans would be required to disclose what perventage of premiums goto the actualy patient care as opposed to admin. costs. Hes also talking about using electronic health info tech systems (though im not comfy with Govt having access to health records electronically). Some fo the above will allow enough money to be saved for improving the healthcare system.
His plan means, everyone gets covered, insured or not, now those that can not pay for their health insurance, would be covered by state, and the state can only do it by raising the taxes out of those who can pay, that means premiums sort of going up rather then going down. I don't think his "multi-faceted" plan would give extra to cover , as he is implying.He is also trying to cut down the medicare/medicaid reimbursements and tying it to outcomes. All medicare patients are seniors and medicaid has disabled covered,( 2 plus 2 wouldn't add upto 4 in medicine many a times ) .....this would lead to discouragement among medical professionals. Electronic health info(or EMR's) are already enforced in most of the hospitals and usually help for cross correspondence between different health care professionals in different settings. I agree with his plan to cut down on admin costs but then he must deal with the CEO's of insurance companies/hospitals, who are making somewhere around half to a million dollars each.