Note-Video is a repeat of the text below. Read or watch the video (or both). This page also contains more info. on how OPS drives down prices (not in video-so scroll down to the middle section called "How OPS drives down the cost of Healthcare" for more.

 

Healthcare can feel confusing, but the truth is simple:

OPS doesn’t create new money. OPS doesn’t raise taxes. OPS doesn’t change medical care.

OPS simply reorganizes the money we already spend so it actually reaches the people doing the work — the doctors, nurses, and hospitals who take care of us.

To make this easy to understand, let’s use a simple example with food, because everyone understands food.

Please note: Below is just an analogy to explain the concept. Numbers and percentages are not exact.

The OPS committee will work out the final numbers as OPS is fully developed. (See Source and evidence page for more support of this concept)

THE $1,000 EXAMPLE — SAME MONEY, SAME PEOPLE, DIFFERENT RESULTS

Imagine we have:

• 100 people who need to eat 

• $1,000 total to make that happen

• No new money

• No tricks

• Just $1,000

In this example:

• Food producers + cook team = doctors + hospitals (providers)

• People eating = patients

• The way money is sent = the funding system (old vs OPS)

Let’s see how the same $1,000 works in two different systems.

THE OLD SYSTEM — MONEY GETS LOST BEFORE IT REACHES THE COOKS

Here’s how the current system uses the $1,000:

• $400 → paperwork, billing, claim denials, insurance overhead

• $200 → middlemen and inefficiencies

• $400 → actually reaches the people who grow and cook the food

So only $400 goes to:

• the farmer

• the truck driver

• the grocery worker

• the 1 cook team

They can’t afford to:

• grow enough food

• keep the kitchen open

• pay staff

• stay in business

Result:

• portions shrink

• quality drops

• some kitchens close

• many people go hungry

Same $1,000 — but most of it never reaches the people doing the work.

This is exactly what happens in healthcare today.

THE OPS SYSTEM — SAME $1,000, BUT USED SMARTER

Step 1 — OPS sends 55% straight to the cooks (the supplement)

OPS takes 55% of the $1,000 and sends it directly to the cook team so they can stay open, pay staff, and prepare food.

That’s:

• $550 → straight to the cooks and helpers (the supplement)

This is exactly how OPS sends 55% of Medicaid spending directly to providers.

THE KEY DIFFERENCE — 

Remember, there are only a few cooks but many hungry people.

In our example:

• 100 people need to eat

• but only 1 cook team (cook + farmer + truck driver + grocery worker)

When you send money straight to the cook team, you’re sending it to a small group, not the whole crowd.

That means the money becomes:

• more concentrated

• more efficient

• goes farther

Because it’s going directly to the people who turn money into meals.

This is exactly how OPS works:

OPS sends money to the small group doing the work (providers), not the large group receiving the care (patients).

That’s why the same $1,000 feeds everyone better under OPS.

Step 2 — The remaining 45% still pays per meal (per visit)

The remaining $450 is used the old way:

• each meal is still paid for (costs per meal is lower since cook team already received partial payment)

• each visit is still billed

• nothing changes about how people eat or how doctors treat patients

Final breakdown of where the money goes:

• $550 → straight to cooks and food costs (supplement)

• $100 → necessary admin and overhead

• $350 → cooks (per‑meal payments)

Total to cooks and helpers: $900

Same money. Different distribution.

Why this works

Because the cook team now receives:

• stable money upfront (the supplement)

• plus money per meal (the visit payments)

They can:

• buy ingredients

• keep the kitchen open

• pay staff

• serve everyone

• stay in business

This is exactly what OPS does for healthcare.

OPS reorganizes the money, so providers receive closer to the full amount.

Same money. Same people. Same cooks. Same food. Same patients. Same visits.

But now the money reaches the people doing the work — the people get fed, it drives down costs and everyone is happy.

HOW OPS DRIVES DOWN THE COST OF HEALTHCARE

Let’s go further with our analogy.

When cooks finally receive enough money to do their jobs, something important happens:

Food becomes cheaper.

Why?

Because when the kitchen is stable:

• they don’t need to raise prices

• they don’t need to charge extra fees

• they don’t need to cut portions

• they don’t need to close locations

• they don’t need to borrow money to stay open

When the people making the food are stable, the cost of food drops for everyone.

This is exactly what OPS does for healthcare.

OPS stabilizes providers → providers stop losing money → insurance premiums drop → families pay less.

OPS doesn’t lower costs by cutting care. OPS lowers costs by stabilizing the people who provide care.

Just like stabilizing cooks lowers the cost of food.

THE SIMPLE SUMMARY

OPS doesn’t create new money. OPS doesn’t raise taxes. OPS doesn’t change medical care.

OPS simply takes the money we already spend and sends 55% straight to the people doing the work, then uses the remaining 45% the same way we always have.

Same money. Same people. Better results.

That's OPS!