As providers are tasked with keeping people healthy through risk-based payment contracts, they're investing in genomics and personalized medicine in order to develop new methods of targeting patients who need early intervention.
The unfunded mandate signed into law by President Ronald Reagan sharply reduced cases of hospitals refusing to treat emergency department patients who lack insurance. Experts blame poor communication and inadequate training for most of the remaining incidents.
The promise of the ACA for hospitals was that bad debt—a figure that reflects bills a hospital can't collect—would shrink substantially under the law's coverage expansions. The reality, so far, is less uniformly dramatic, even though 20 million fewer Americans are uninsured.