Providers, Payers Largely Favor PPACA Decision
The law's expanded healthcare coverage "will allow patients to see their doctors earlier rather than waiting for treatment until they are sicker and care is more expensive," he said. And, Lazarus said, the court simplifies administrative burdens, including streamlining insurance claims, so physicians and their staff can spend more time with patients and less time on paperwork."
David Goodman, MD, co-principal investigator of the Dartmouth Atlas, whose research on national healthcare cost variation influenced the legislation by demonstrating that high quality care does not have to be expensive, said the ruling "identifies the legislative branch as the locus of policy development for these important problems."
The Atlas "showed that healthcare differs widely from place to place in volume of services, much of it unnecessary, is an important driver of healthcare costs. The fee-for-service payment has been permissive of that rapid growth," he said. Now, sections of the PPACA incent healthcare organizations to minimize duplication and maximize care in the patients' best interests with bundled payments and care continuation models long after they've left the hospital, thereby preventing their deterioration.
The health plan trade organization, America's Health Insurance Plans, issued a mixed response.
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