OUR PROPOSAL An Effort to Establish
a National Commission to Recommend Policies to Redesign U.S. Healthcare Delivery and Payment

In 2017 a select group of hospital CEOs, frustrated by an inability to improve population health outcomes, met with Senate leaders to advocate for substantial health care policy reform. Our initial effort led to Senate Finance Committee members, Senator Sherrod Brown and Senator Bill Cassidy, to write to then DHHS Secretary, Tom Price, in September soliciting his interest in joining them in convening a national commission to advance significant policy reforms so that health care “can effectively meet the needs of all Americans.” Through 2018 and 2019 we continued to meet with Senate Finance along with HELP Committee members as well as with House and administration leadership in pursuit of our goal. Though our efforts this past year were compromised by COVID-19 they are reflected in a May 2020 letter to HELP Chairman, Lamar Alexander, that in part updated our June 2019 letter to Chairman Alexander. This year, with lessons learned from the ongoing pandemic as further evidence for major reform, our effort begins with a series of eight interviews with nationally-recognized health care policy experts discussing the numerous ways in which federal health care policy needs reform.

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Efforts to improve health care over the past decade, or since the passage of the Affordable Care Act in 2010, have been largely consumed by expanding insurance coverage. More fundamental questions concerning, for example, access, equity, outcomes, price, quality, the social determinants of health, and what value is achieved for the health care dollar spent remain substantially unaddressed. We are calling for federal policymakers to create a national commission composed of provider professionals to recommend policies to Congress that will simultaneously improve health care service delivery, spending efficiency or payment value, and health outcomes for all Americans.

Randy Oostra, DM, FACHE, is the founder of this initiative to establish a National Commission, and is the President and Chief Executive Officer of ProMedica, a not-for-profit mission-based, integrated health and well-being organization headquartered in Toledo, Ohio. The $7 billion organization serves communities in 28 states.

Click the bar below to read Randy’s full bio and our other healthcare leaders engaged in this effort.


This past fall knowing a new Congress would take office in January we decided it would be important, if not necessary, to both demonstrate our desire for substantive federal health care policy reform and to contribute to the upcoming session’s health care policy debate between November 9 through January 7 we interviewed eight, nationally-recognized health care research and policy experts to discuss significant health care challenges facing our nation. The interview series discusses population health with Dr. Steven Woolf (Virginia Commonwealth University); health care pricing with Dr. Bob Berenson (the Urban Institute); Medicare fee for service with Dr. Amol Navathe (University of Pennsylvania); Medicare Advantage with Professor Mike Chernew (Harvard): drug pricing with Dr. Mark Miller (Arnold Ventures); long term care with Professor Judy Feder (Georgetown); health care quality with Dr. Kate Goodrich (Humana); and social determinants with Dr. Paula Braveman and Dr. Laura Gottlieb (University of California, San Francisco).


Dr. Paula Braveman & Dr. Lori Gottlieb Discuss:
addressing the social determinants of health

Guiding Principles

Healthcare coverage is universal and affordable: Despite coverage gains under the 2010 Affordable Care Act (ACA), approximately 28 million non-elderly Americans remain uninsured.

15 Reasons Why a Commission is Needed

The National Academy of Sciences (NAS) has concluded Americans live shorter lives, are in poorer health throughout their life course, and experience no compression of disease.


How is the Committee Structured? Have Similar Commissions Been Assembled in the Past?

Most generally, the Commission would be made up of 20 members selected by the GAO Comptroller General.  Commission members would, in sum, be nationally recognized health care industry leaders representing the diversity of health care providers.

Per a November 22, 2019, Congressional Research Service report, there have been over 155 Congressionally created national commissions since 1989. For example, the National Bipartisan Commission on the Future of Medicare Commission (known as Breaux-Thomas) was created in October 1997. Its work led to the passage of the Medicare Part D legislation in 2003.

What Role Would Congress Play?

Congress would, via regular order, debate the Commission’s recommendations. Alternatively, Congress could be required to fast track the Commission’s recommendations.

What is the Commission’s Time Frame?

The Commission should be time-limited.  The Commission would be required to forward its recommendations to Congress within 12 months after being formally established.

Worth Knowing

Americans are forced to spend more than $1 trillion annually on health care that does not improve their health status.

Nearly 50 percent of uninsured adults remain uninsured because cost of coverage is unaffordable.

More than one-third of the U.S. population is diabetic or pre-diabetic.


Feel free to contact us with any questions by filling out the form or email us at info@commissionhealthcare.com.

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