David Introcaso

David Introcaso is a former Agency for Healthcare Research and Quality Evaluation Officer, Senior Health Policy Adviser to the House Majority Leader and co-founder of Sylk Health.

David Introcaso, PhD, is a former Agency for Healthcare Research and Quality Evaluation Officer, Senior Health Policy Adviser to the House Majority Leader and co-founder of Sylk Health.

By this expert

The Elephant in the Emergency Room: Why Federal Health Reform Fails Without Hospital Price Discipline

Article | Oct 18, 2026

A sweeping Senate health reform blueprint takes aim at insurers, PBMs, and administrative abuses while leaving hospital prices largely untouched. Concentrated hospital systems remain a major source of rising costs, weakened bargaining power, and pressure on household budgets.

From Captive Bargaining to Outside Options: Re-Anchoring Price Formation in US Hospitals

Paper Working Paper | | Oct 2026

Hospital price transparency has not delivered lower costs because buyers still lack meaningful alternatives. A new proposal would restore bargaining power by pairing independently set reference prices with a ban on restrictive hospital contracts that prevent health plans from steering patients elsewhere.