David DeGrazia has sketched out a health reform proposal that combines the monopsony purchasing power of a single public payer with managed competition among health plans and implicitly among providers, alone or in groups. The proposal differs from the archetypal “Medicare fee-for-service for all” model in creative ways, and indeed it is developed to address some of the standard fears about whether a single-payer system squelches choice and incentives for innovation. But DeGrazia’s truly novel claim is that this version… more
