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

Engage community members to determine how public budgets are spent, ideally to improve neighborhood conditions and reduce inequality.

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

Bring people with diverse values and perspectives together to engage in facilitated, inclusive, and informed dialogues about a topic of public concern. Examples include Citizens’ Initiative Reviews, deliberative polling, citizen juries, and citizen’s assemblies.

Support individual and group use of internet-based tools to receive news, communicate or share information, collaborate on ideas, mobilize networks, and make collective decisions

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

Teach students attitudes, skills, knowledge, and behavior needed to participate in and contribute to a democracy