LOW COST HEALTH FEE

The healthcare industry worldwide is experiencing massive change. Concerns over surging health care costs, effective care of chronically ill and rural patients, and the need for early detection of diseases have all resulted in a marked increase in IoT innovations and their rapid adoption over the past few years.

Under the Affordable Care Act, millions of new patients will have access to the health care system. One concern – where will all of these people obtain their health care? Because of fee for service and the inequitable tilt toward specialty care, the primary care system in our country has been decimated and will take years to rebuild.

The Affordable Care Act requires that nongrandfathered health plans offered in the individual and small group markets, both inside and outside of the new Health Insurance Marketplace (or “Exchange”), cover a core package of healthcare services known as Essential Health Benefits. These plans must cover – at a minimum – the following 10 general categories Systemic reforms such as these will address the broader problems of declining affordability and quality that plague the health care system. These reforms will also help more people afford health care services, whether those services are primary care visits, medical procedures, or pharmaceuticals

People want a vision of a functioning health care system that is cost effective. They want a doctor who listens and provides great and affordable care. When they become seriously ill, they do not want to worry about how care is going to be covered. They want a health care system that is easy to navigate with a simplified system of billing and medical records they can understand.

Employers are frustrated by the rising costs of medical coverage. Many have moved to self-funding in the hope that access to more information on the health of their employees will achieve lower costs. Unfortunately, this approach doesn’t change the underlying rate of healthcare inflation, improve the delivery system, or reduce the unnecessary utilization that inevitably results from the fee-forservice method of reimbursement. And trying to ascertain appropriateness of care case by case based on claims data risks delaying needed medical treatment.