By NextBestFitReduces income or business for affected groups
The approach reduces payments, earnings, or business for some participants. This matters most when they cannot readily adjust and less when the loss can be absorbed without disrupting needed services.
Under your mix of paths
Caused or worsened by these paths
A cost these paths share. Each path's page says how it applies there.
Provider groups argue that fixed benchmarks reduce their pay.
Ending private Medicare plans causes large insurer losses.
Hospitals reliant on high commercial payments lose revenue under the cap.
Hospitals lose revenue that partly supports emergency and standby capacity.
Budget-funded ambulances reduce business for private ambulance companies.
Shifting fee-schedule dollars from procedures to primary care reduces specialist income.
Fixed payments per enrolled person leave small practices bearing financial risk.
A higher primary care spending share requires money to come from specialists or hospitals.
Deprivation-based payments leave providers in wealthier areas receiving less.
Compensation through a fund instead of lawsuits leaves lawyers with fewer cases.
Negotiating lower prices and assessing new treatments reduces manufacturer revenue.