Maryland has long led the way with its all payor hospital payment system. This approach has not proven to be easily replicable elsewhere, however.
Now, New York tiptoes in to the area of medical-loss ratios or profitability caps for nursing homes. This should be interesting to watch.
The COVID-19-induced scrutiny of for profit nursing homes and their return on investment numbers might be worth expanding to other kinds of health care providers or venues.
Missouri State of Mind 