What if payers required all health consumers to take a one-day "Healthcare 101" class every five years? Especially when they're eligible for Medicare, the age when the need for healthcare services dramatically increases.
Qualified instructors would explain the importance of patients asking questions about their care, and who should answer them. Students would learn about how to measure quality of care, and where to check for it. They'd learn a few current concepts, like accountable care, incentive payment, discharge planning, hospital-acquired harm, and evidence-based medicine.
They'd see the difference between a hospital marketing campaign and what's right for them.
Yes, there would be a test. And they'd have to pass. And their providers could see their scores.