Making Alternative Payment Plans Mandatory: Inherent Risks and Pitfalls in Reducing Healthcare CostsMay 15, 2018
The Center for Medicare and Medicaid Innovation (CMMI) program was created by the Affordable Care Act to identify and test new strategies for reimbursement in an effort to reduce growing healthcare costs.
Although the Affordable Care Act's coverage expansions have reduced out-of-pocket spending for low- and middle-income individuals, these patients continue to experience a high burden of premium and out-of-pocket spending.
Less than 20% of websites provide local price estimates relevant to nonemergency medical interventions.
Most websites do not specify whether the price quoted was the consumer's out-of-pocket cost and there was considerable variation in the prices listed on the sites within interventions.
Overly aggressive or futile care at the end of a patient's life is particularly costly, both in dollars and in terms of patients' quality of life.
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