For the past year, health insurers tried their hardest to defeat healthcare reform. The answer: the hospital discussed price only with uninsured patients. Better measurement of outcomes and costs makes bundled payments easier to set and agree upon. The Department of Health and Human Services has promulgated safe harbor regulations that protect certain specified arrangements from prosecution under the Anti-Kickback Statute.\n\nJust as railroads converged on standard track widths and the telecommunications industry on standards to allow data exchange, health care providers globally should consistently measure outcomes by condition to enable universal comparison and stimulate rapid improvement.\n\nMoney is honey,” my grandmother used to tell me, but health is wealth.” She said health,” not health care.” Listening to debates over health-care reform, it is sometimes difficult to remember that there is a difference. Basically, health insurance is the promise by an insurance company or a health plan to provide or pay for health care services in exchange for a payment of premiums.\n\nIn place of these programs and the premiums we now contribute to them, and along with catastrophic insurance, the government should create a new form of health savings account—a vehicle that has existed, though in imperfect form, since 2003. Our system of health-care law and regulation has so distorted the functioning of the market that it’s impossible to measure the social costs and benefits of maintaining hospitals’ prominence.\n\nIn the American health-care system, however, different people get astonishingly different deals. Nowhere, though, are we more lacking in honor than in our healthcare system. The hospitals are reimbursed for the care with a single bundled payment that includes all physician and hospital costs associated with both inpatient and outpatient pre- and post-operative care.