A ten-year full phase-in, with enrollment complete at Year 7. Every question in this category has a yes-or-no answer for a given person or institution on a given date: who is on the old plan and who is on the new one, who pays under which payment method, which institutions lose margin, which specialties take fee reductions, and whose jobs end. Price compression is the fiscal case, which means somebody's income falls — naming who is more honest than calling the same event efficiency. Access density is deliberately not on this clock.
Anchor
Who moves, and when
Tranches by employer size, average payroll and region. Enrollment completes at Year 7 inside a ten-year full phase-in. Read component →
Anchor
Who pays, and under what structure
Premiums, deductibles and employer contributions are replaced by one payroll instrument and General Fund financing. Read component →
Anchor
Who bears the adjustment
For-profit hospitals lose margin, procedural specialties take fee reductions, and claims-adjudication employment ends. Read component →
Primary
Ownership, and what happens to what nobody wants
Repricing lands at announcement, not at purchase. There is no obligation to buy and no bailout. Read component →
Primary
The overlap years
Legacy systems run in full while the new one stands up; spending rises before it falls, and that is planned. Read component →