The Solution — Take Control

The solution

One clear, connected picture.

Controlled by you, and built on the most obvious first reform: giving American healthcare a single, transparent set of books.

The idea

From a thousand ledgers to one.

A secure, standardized national system that brings the country's health information together, so cost, care, and outcomes can finally be seen and studied across the whole population.

From a thousand ledgers, one clear set of books.

The same claims that exist today, brought into one standard, secure format

A national all-payer claims database, coordinated with existing state systems

Not government-run healthcare. Not eliminating private insurance. Not rationing care. Just a modern system of accountability in a $5.3 trillion sector.

How it works

Four straightforward steps.

One national record of claims

A secure repository, administered by CMS, collecting claims from commercial insurers, employer plans, Medicare Advantage and Medicaid managed care.

One common format

Standardized reporting of medical and pharmacy claims, provider identifiers, amounts billed and paid, diagnoses and procedures, so the data can actually be compared.

Privacy built in, not bolted on

Built under HIPAA with de-identification protocols and strict access controls. You decide what to share, and you can opt out at any time.

Built on what already exists

Coordinated with state databases to avoid duplication. CMS already manages claims data securely for public-benefit research today.

Privacy

Privacy and control, together.

The first question is always about privacy, and it is exactly the right one to ask.

Your health data is already bought and sold today, and many of the apps on your phone store it entirely outside HIPAA protection. A secure national system, built under HIPAA with strict access controls and the right to opt out, would be far better protected than the scattered reality we live with now. It means one accountable home for your health information, that you control.

Take control.

This is how we build a healthcare system that finally works for the people who depend on it. If that is a future you would like to help build, we would love to keep you close.

Thank you. We will be in touch.

Occasional updates on the effort. Nothing more.

One clear, connected picture.

From a thousand ledgers to one.

From a thousand ledgers, one clear set of books.

Four straightforward steps.

One national record of claims

One common format

Privacy built in, not bolted on

Built on what already exists

Privacy and control, together.

What does that actually change?

Take control.

Every figure on this page.