It used to be that purchasing a home was the most important financial decision in one's life. Today, selecting insurance is right up there.
The Affordable Care Act passage did not make insurance affordable or accessible. It did make it much more complex especially for those who never had insurance coverage. It is a new landscape cratered with deductible, copayments, premiums, and charts defining eligibilty for subsidies
If you are confused....you have come to the right place. Even physicians and hospitals are overwhelmed with new diagnostic codes, CMS rulings and the new affordable care act. Change has occured so quickly that statistical comparisons of health cae costs between 2010 and 2015 will be unreliable because there is cost shifting taking place due to change from volume based reimbursement to quality measures, such as re-admission rates. The new reimbursement actually does depend upon fee for service. The net payment will be reduced if quality goals are not met. ( a form of penalty.) Bonus payments for meeting quality standards will vary from insurer to insurer. Medicare and Medi-Cal will have their own formulas.
It is no wonder that