Potential Tradeoffs/Negotiations: In order to bring all three stakeholders on board with the proposed policy change, it will have to result in better health outcomes for the population, better quality of care for individuals, and lower costs (what the Institute for Healthcare Improvement calls the “Triple Aim”20 para.1). However, it will also need to reasonably meet the revenue needs of hospitals and health systems. This may mean a balance between lower costs and expectations of the degree to which population level outcomes may be improved, with the recognition that many population-level health outcomes are influenced by much more than healthcare alone.21 It will also likely require the re-examination of additional laws and regulations to remove
