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In 2021, patients-as-health-consumers seek lower health care and prescription drug costs coupled with higher quality care, discovered by the patientadvocacy coalition, Consumers for Quality Care. 90% conducted research into health care costs. 59% chose their health care provider based on cost.
It is not just about following rules but about maintaining the highest standards of patient care and ethical behavior. Healthcare organizations must comply with many regulations, including the HealthInsurance Portability and Accountability Act (HIPAA) , the Affordable Care Act (ACA), and various state-specific regulations.
Americans who have commercial healthinsurance (say, through an employer or union) are rarely thought to face barriers to receiving health care — in particular, primary care, that front line provider and on-ramp to the health care system.
In 2021, patients-as-health-consumers seek lower health care and prescription drug costs coupled with higher quality care, discovered by the patientadvocacy coalition, Consumers for Quality Care. 90% conducted research into health care costs. 59% chose their health care provider based on cost.
I would add that the enactment (and some would say the design) of the ACA itself spurred payer consolidation. Payers are consolidating as well because of pressures to scale for clients across large geographical regions and to support costs of technology.
health care system from reinvigorating the ACA/Obamacare (the Joe Biden approach), with a call for a public option and/or “Medicare for those who want it” in Buttigieg-speak; with Medicare-For-All the other end of the policy spectrum, supported explicitly by Bernie Sanders and Elizabeth Warren. Political debates in this 2020 U.S.
Becerra (“Braidwood”) , invalidating the Affordable Care Act’s (“ACA’s”) mandate requiring health plans and healthinsurers offering healthinsurance coverage to provide coverage for preventative care services recommended by the U.S. Preventive Services Task Force (“USPSTF”).
Healthinsurance agents who fraudulently enroll consumers in Affordable Care Act health plans could be subject to criminal charges — and civil penalties of $10,000 to $200,000 — under legislation introduced Wednesday by Sen. Ron Wyden (D-Ore.), chairman of the powerful Senate Finance Committee.
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