Strategies

Establish high deductible health plans paired with pre-tax medical expense accounts such as Health Reimbursement Arrangements (HRAs) or Health Savings Accounts (HSAs) and information tools

Use payments, vouchers, and other incentives to encourage patients to undergo preventive care such as screenings, vaccinations, etc.

Support joint decision making between health care practitioners and patients through shared decision making (SDM); part of patient-centered care

Use pervious concrete, porous asphalt, permeable interlocking pavers, open-jointed blocks or cells, or other permeable pavement in individual or commercial development efforts; also called porous or pervious pavement

Make pricing for hospital procedures and other health care services publicly available, often via websites, online databases, report cards, or similar tools

Establish bioretention systems (e.g., rain gardens, bioretention cells, green roofs, planter boxes, bioswales, etc.) to make city landscapes more permeable to help control stormwater

Create financial incentives or remove financial disincentives to affect consumer choices and incentivize provision of cost efficient health care services

Use the purchasing power of employers and groups of insured individuals to create incentives and disincentives for health care providers to deliver high quality, high value care