By focusing on improving quality and lowering costs, the PPACA shifted the risk to the provider to deliver quality care and lower costs. This was done through the bundle payment, in that the provider was entirely responsible for their profit and loss on a patient but had to balance out quality care and access at the same time.

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The Patient Protection and Affordable Care Act (PPACA) introduced bundled payments as a way to encourage healthcare providers to focus on quality and efficiency. Under this model, providers are paid a single payment for all services related to a specific treatment or condition, rather than being paid for each individual service. This approach shifts the financial risk to providers, incentivizing them to deliver high-quality care in a cost-effective manner, as their profit is directly tied to their ability to manage costs while maintaining or improving the quality of care.

By Focusing on Improving Quality and Lowering Costs, the PPACA