Engine 2
Distributed Healthcare

Governance

AHQB clinical authority, anti-cream-skimming, cost controls, quality standards, pharma pricing, safe-harbor practice guidelines.

HealthcareArchitectureRolloutCapacityGovernanceTransitions

Distributed Healthcare is clinically governed by the American Healthcare Quality Board (AHQB), an Expert Board with reimbursement-schedule authority, safe-harbor practice guidelines, and quality-monitoring intervention powers. The Healthcare Cost Brake macrogovernor enforces cost discipline within statutory bounds. Anti-cream-skimming architecture explicitly prevents provider, patient, and geographic inequities. Pharmaceutical pricing references international comparators.

Anchor
American Healthcare Quality Board (AHQB)
Clinical-authority Expert Board. Sets reimbursement schedules, defines safe-harbor practice guidelines, monitors quality, and exercises rollback authority during transitions. Read component →
Anchor
Anti-cream-skimming + geographic equity
Provider cream-skimming, patient cream-skimming, and geographic inequity prevention through central reimbursement-setting + objective indices + AHQB monitoring. Read component →
Primary
Healthcare Cost Brake macrogovernor
One of the Accord's six macrogovernors. Triggers AHQB-driven cost interventions when healthcare cost growth exceeds bounds. Clawback-only authority — never cuts essential-floor coverage. Read component →
Primary
Pharmaceutical pricing + formulary
Reference pricing against international comparators. Tiered formulary with biosimilar promotion. AHQB-managed coverage decisions on novel therapies. Read component →
Primary
Safe-harbor practice guidelines
AHQB-defined practice guidelines provide malpractice safe harbor. Clinicians following guidelines have a presumption against malpractice liability for outcome-based claims. Read component →
Other categories: Architecture · Rollout · Capacity · Transitions · Engine 2 overview