It is very difficult to gauge the ultimate outcome of proposed health care legislation, but several common themes do allow one to make educated guesses on trends.
Trend: A shift from plan exclusion of pre-existing illness to controlling expenditures of covered members
Between 2000 and 2005, the number of Americans with private health insurance coverage fell by 1 percent. But over the same period, employment at health insurance companies rose a remarkable 32 percent.
Trend: Rising health care costs
Trend: More dialogue between payer intermediaries and decisions at the point of care
Trend: More capitation and risk relationships with providers
Trend: A shift in "ROI" from short-term return to long-term value