|By Dan Kelly, Reading Eagle, Pa.|
|McClatchy-Tribune Information Services|
"This is the most exciting and scariest time of my career with all the changes going on," Matthews told about 120 employers, insurers and health care providers at the
Major changes to the way health care is delivered are quickly coming online as President
Features of the act are changing the way doctors are paid, hospitals are reimbursed and patients are treated, Matthews said.
Matthews said about 30 percent of hospitals employed physicians in 2000. He said that figure rose to 70 percent in 2010 and is expected to rise to 75 percent in 2014.
Meanwhile, hospitals are being reimbursed at a flat rate for each illness.
"Many are considering going part time much earlier in their careers than in the past," Sandel said.
The Affordable Care Act, or Obamacare, is progressing in fits and starts, said
"It was kind of messy starting out," Morahan said. "But we are now seeing better (patient) outcomes in terms of this transformation."
The summit also included employers and human resources executives who spoke of wellness programs they have been instituting in their offices in the past three to five years.
Now some employers make actual cash payments to folks who agree to get a health assessment, wear a pedometer and report their weight loss and other performance.
"The only thing that works is fear of loss of money," Burtaine said. "We gave people
"We then threatened to dock their pay
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