Under the Affordable Care Act, health care providers may be rewarded if they demonstrate better health outcomes at lower costs.
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“In the old world, doctors and hospitals were paid more if they did more,” Kannaday said. In the new model, doctors and hospitals that demonstrate they are providing quality care at a lower cost are rewarded financially, she said.
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decline in charity care and bad debt with more patients
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"Fine. A big group, we can understand the overall risk. We can model that. We're happy. But individuals, we're not so sure, and that's why the individual insurance market, which is a market where Americans who don't get insurance from their employer or the government have to turn, that's why that market is so screwed up all around the country and why we needed the Affordable Care Act.
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First, it was not primarily intended to push people to obtain protection for their own good, but to protect others. Like auto damage liability insurance required in most states, our requirement focused on "catastrophic" costs -- so hospitals and taxpayers would not have to foot the bill for the expensive illness or accident of someone who did not buy insurance.
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We can model that. We're happy. But individuals, we're not so sure, and that's why the individual insurance market, which is a market where Americans who don't get insurance from their employer or the government have to turn, that's why that market is so screwed up all around the country and why we needed the Affordable Care Act.
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Even fewer were able to actually apply for coverage. Federal officials declined to provide those figures.
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s the movement towards health reform is putting pressure on hospitals, physicians and insurers to keep a lid on rising costs.
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Companies are increasingly offering employees health plans that allow them more freedom to choose doctors and hospitals and that generally do not require referrals from primary care doctors for specialty care.
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insurers generally still pay a fee for every visit and procedure, a payment system that has been blamed for driving up spending.
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this movement back toward’’ fee-for-service medicine “is really going to hurt us.’’