In 2000, the out-of-pocket expense for medical services received by workers with employer-provided health insurance ranged from 2.5% to 5% of the yearly total. In 2020, individuals with employer-provided or private insurance will be responsible for 20% to 35% of the cost of the healthcare they receive. For providers of healthcare, particularly hospitals connected to physician groups and a full range of related service providers, this means that 20% to 35% of their total revenue must be collected directly from the consumer. Managing payments for large integrated healthcare providers is the b...