They made a little progress toward it but the providers are fighting it every way they can. Apparently one of the methods is to use many different codes for the same thing so they can't easily be compared. You need to get to the point where it's like a price comparison service; your doctor tells you to get a scan and you get a list of every service in the country that offers it, sortable by both price to you and distance from your house. They should also eliminate the premise of "in-network" and just have all providers publish their prices and insurers publish the amount they cover in your region.

> A value-based care model where provider organizations bear at least some financial risk and are accountable for patient outcomes will probably work better for everyone.

It would probably be better to combine them, i.e. you get primary care your way but when primary care wants you to get a scan or take a medication you have competing providers. Lumping the entire network into one entity is likely to lead to market consolidation and then inefficiency.