Our hospital affordability agenda is guided by a set of core policy principles aimed at lowering costs and improving accountability across the healthcare system. These principles reflect a simple goal: hospital markets should work for employers, working families, and patients—not reward opacity, unchecked market power, or higher prices without better outcomes.

Download an Executive Summary of our Position Paper.

Position paper coming soon cover

POSITION PAPER

Promoting Hospital Accountability: A Policy Agenda for Employers and Working Families

Our full paper and executive summary provide additional detail on the challenges in today’s market and the practical reforms needed to address them.

  • Increase transparency in hospital pricing and billing: Ensure employers and patients have access to clear, complete, and usable information on the true cost of care.
  • Curb consolidation and anticompetitive practices: Address the market power of dominant hospital systems and restrict practices that drive up prices and limit choice.
  • Advance site-neutral payment reform: Ensure patients and employers do not pay more for the same service simply because it is delivered in a hospital-owned setting.
  • Strengthen accountability for tax breaks and drug discounts: Require hospitals receiving public subsidies to demonstrate meaningful community benefit and help lower costs for working families.
  • Promote competition and affordability for working families: Support reforms that lower premiums and out-of-pocket costs while preserving access to high-quality care.