Modern Healthcare May 6, 2017
Remember payment reform? Shared risk, bundled payments, global budgets—these baby steps are supposed to teach hospitals and physician practices how to stay on their feet financially while walking away from fee-for-service medicine.
That was the idea behind the half of the 2010 Affordable Care Act that tackled delivery system reform. It also inspired the physician pay changes included in the 2015 Medicare Access and CHIP Reauthorization Act, which passed by a large, bipartisan majority.
The architects of those laws understood that health insurance affordability, whether measured by the growth in private-sector insurance premiums or the cost of government programs, is largely determined by the growth in healthcare spending. And that, in turn, is driven by three factors: the price and...
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