Phase 3: Waves 2 & 3: working-age adults · Step 3.4
Converge provider rates
Years 1–4 · Payment Rates BoardDiscuss this step
Pros & cons of this step
Pros
- +No overnight revenue cliff for providers.
Cons
- −Prolongs high payments to providers with market power.
- Gradualism vs. savings speed.
Trade-off behind each system change
- Hospital and practice billing departmentsProviders save money; billing staff lose jobs.