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If you didn’t know it, the key intent of Affordable Care Act is to shift medical care from fee-for-service to fee-for-quality. For too long, hospitals have gorged on referrals into their systems and walk-ins to their emergency rooms. But besides electronic medical records—a low hanging fruit–hospitals are hailed widely as being inefficient and sloppy. But the game changes when hospitals start getting paid for how many people they heal, not how many people they process. Suddenly, hospitals are realizing that they are service providers. Patients are consumers and they’re playing a bigger role in the decision making process.



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