ployer-sponsored plans and individual policies, also play a key role in determining coverage and reimbursement. They have the ability to negotiate with healthcare providers and pharmaceutical companies to determine the cost of services and medications, which ultimately affects whether those goods and services are covered.

Healthcare providers, such as hospitals and physician groups, also have a say in determining which goods and services are covered. They often advocate for coverage of services that they provide, and may push for reimbursement policies that benefit their practices.

Finally, patient advocates play an important role in advocating for coverage and reimbursement policies that benefit patients. They may lobby government officials, work with insurers to negotiate coverage policies, or provide education and support to patients navigating the healthcare system.

In summary, the decision about whether to provide coverage and reimbursement for a particular good or service in Health Reform in the United States should be made by a combination of government entities, private insurers, healthcare providers, and patient advocates, all working together to ensure that patients have access to the care they need at an affordable cost.