Health care executive Ashish Mandavia discusses his article "Why U.S. health care pricing is so confusing—and how to fix it." Ashish explains how systemic misaligned incentives, opaque insurance practices, and weak enforcement drive up patient costs and mistrust in the health care system. He outlines the emotional and financial toll of surprise medical bills and argues for stronger accountability, technology-driven transparency, and shared responsibility across hospitals, insurers, providers, and patients. Ashish offers listeners practical takeaways, such as the role of digital tools in cost clarity, the need for enforcement that closes loopholes, and how patients can advocate for fairer, more predictable care.

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