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by Centigonal 458 days ago
Short answer: Systems 1, 3, 12, or 23 in Figure 3 in this paper are pretty good options: https://eclass.ekdd.gr/esdda/modules/document/file.php/KST_B...

This is an extremely politicized question in the US, where a public health insurance option (a solution that's popular in much of the rest of the OECD) is fiercely opposed by a large swath of the population.

At the very least though, in an ideal world, payers, providers, pharmacies, and PBMs should not be allowed to be part of the same company.