Form insurance exchanges-

Instead of having a few insurance comapnies to choose from, there will be exchanges (think of them like supermarkets) where there are dozens of insurance companies competing for customers. Surprising at this stage of the game you don't understand this. Then again, maybe it isn't surprising...

Reduce excessive prices-

Congress’ expert advisory body on Medicare payment policy — and the Congressional Budget Office have found that private plans such as Medicare Advantage which is a supplemental plan, are paid 12 percent more, on average, than it would cost traditional Medicare to cover the same beneficiaries.According to an analysis by the Commonwealth Fund, these overpayments currently are estimated to average about $1,000 for each beneficiary enrolled in a private plan. Cutting these overpayment will reduce health care costs.

Moving to value-based payment in Medicare.

What this mean is moving toward a system where reimbursement are based on overall illness treatment and not for every procedure done. This vastly eliminates administrative costs and redundant and/or unnecessary procedures. This would most commonly apply to diseases like diabetes where it is easier to determine lifetime costs for the patient.

Tax generous insurance plans

Rich people and union members are the ones with the so called "cadillac plans."

Invest in information technology

Already in process with the stimulus money

Prevention

Doctors disagree. The percentage of people who smoke is far less today than it was 50 years ago because of prevention messaging.

Create a public option

The battle is not over. Reid has said he will bring an up or down vote to the Senate floor this year in a separate bill.