10/27/2026
Who actually holds healthcare pricing accountable?
Spent today at the Affordability in Action conference thinking about a “sixth estate.” Payors, independent providers, health systems, government and consumers all have a stake - forums like this can be the sixth force that brings them into one room and challenges the pricing stories each side tells.
One idea from Wendell Potter’s discussion stuck with me: when does protecting the margin start to displace the mission?
Independent providers belong in this conversation, not treated as interchangeable with large health systems.
Hearing from Kada Health and Montana’s state employee health plan moved the conversation toward what change could look like in practice.
For New York, the question is what it takes to turn that pressure into lower costs.