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Public (e.g., Medicaid) and private sponsors should offer more than one health insurance option to those eligible for coverage.
The state and federal governments should apply uniform national standards to all private health plans, including provider-sponsored and preferred-provider organizations.
In the absence of national standards, states should enact a comprehensive set of rigorous standards for managed care plans.
Policymakers should enact safeguards to protect consumers against surprise bills.
All managed care plans should be held accountable for their actions that lead to injury or harm to an enrollee.