Even Hospitals Are Confused About Healthcare Costs

The Takeaway | Sep 10, 2015

Click on the audio player above to hear this interview.

Quality over quantity. That's the driving force behind the Affordable Care Act.

Before the law was rolled out, doctors and hospitals were paid for each service they provide, but the ACA is trying to get hospitals to transition away from this fee-for-service model, to a model based on the quality of care a patient receives.

Policymakers hope the transition will eliminate unnecessary tests or procedures, but there's a glaring problem with this new model—hospitals don't know what the costs are.

Unlike any other business, costs in the health care industry are determined by negotiation with insurance providers, not on the actual cost of a test or exam.

Dr. Vivian Lee has been trying to solve this problem. She's the CEO of University of Utah Health Care, where's she's working on how to determine the true value of the services her colleagues provide.

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