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November FTAC Recap: Can’t make a silk purse from a sow’s ear

By Consuelo Echeverria 

In Nov, the FTAC addressed the UHCC request to focus on Coverage/Enrollment with an in-depth explanation of how Medicaid works in WA and potential opportunities for Medicaid under a universal health care system. While Medicaid in WA certainly is trying to be inclusive and equitable there are some issues with trying to expand this approach into a universal system.

  • Overutilization is pitched as the driver of high health care costs while the high administrative costs built into the medical industrial complex was left open.
  • An attempt to consolidate and better manage MCOs to control costs will not fix the basic  issue of capitation with high rates of denials to maximize profits.
  • While rate normalization is seen as a complex problem in the current system, a simple single-payer model is the most cost-effective solution.

As one commentator mentioned, “WA has done a good job of making the existing system work.  But it’s expensive and takes a lot of work, which is why we need to take a different tack.”  

The current system is a prime example of why the FTAC’s time would be better spent analyzing   the unified single payer system presented in the Washington Health Trust, which is modeled on HCFA-WA’s Washington Health Security Trust.    

Join us as we track the next meeting of the UHCC on Thursday, December 14, 2023, 2-4 p.m.

We encourage you to:

Catch up on past UHCC and FTAC meetings

To get our take, you can read past meeting recaps.

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November FTAC Recap: Provider and Hospital Pricing

November 28, 2025

November 6th UHCC Finance Technical Advisory Committee (FTAC) Discusses Provider and Hospital Pricing Washington's Finance Technical Advisory Committee (subcommittee of Universal Health Care Committee)  convened to advance implementation of universal health care, with key focus on hospital reference pricing and provider reimbursement strategy.

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