POLITICO Playback - Politico Staff - POLITICO.com
Standardization is the most important part because the laws have to be based on a standard of criteria. Not a standard of what is covered by the policy.
There is a difference.
Payments for services by the insurance provider based on criteria of care was the foundation of decision making when it came to payments, OK'd by the company, to the hospitals.
If criteria was not met, on the part of the medical care provider, then, payments were withheld.
This system actually helped to insure the care received by the patients was more than adequate.
The legal standard of care was based on this model.
Under Obamacare; it is admitted to by professionals, that there is no actual standard of care to judge quality on. There is no standard of care, at this moment. Right now, no one is actually responsible for the standard of quality care the patients receive. (It's being worked on.)
If critical care coverage is necessary and the patients plan does not cover the necessities, with respect to the particular condition they are treated for, the patient could be left to suffer, or possibly die. This occurs without actual guidelines of criteria, as they have been removed for political reasons.
The conversations on criteria in patient care have not been public, yet.
(I checked criteria on patient files on a job I once had. I know some about criteria.)
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