Healthcare providers are supposed to manage quality care. In addition, this care should be provided for their patients. Quality of care has been tied to Medicare. Payment accountable care is provided for care organizations. Medicaid programs and private payers have made efforts to further the progress of valued based payment throughout the health care system. Creating an environment in which hospitals reward high-quality health care and include flexibility (Burwell , 2015). The Affordable Care Act (ACA) has enabled health care coverage to grow and " made it affordable to many more Americans " (Burwell , 2015). A number of payment arrangements have driven the health care system. ACA has made it affordable to many more Americans forming the way
