In the past, graduation was marked with the anticipation of facing real-world responsibilities. To determine value, providers must measure costs at the medical condition level, tracking the expenses involved in treating the condition over the full cycle of care. Capitation motivates providers to offer every service line in an attempt to keep spending internal, instead of providing only services where they can offer excellent value.\n\nLikewise, concierge care,” or the boutique” style of medical practice—in which physicians provide unlimited services and fast appointments in return for a fixed monthly or annual fee—is beginning to spread from the rich to the middle class. While politicians continue making promises to solve the health care crisis, individuals and families continue to expect more than the insurance market can bear.\n\nThe government regularly tries to cap costs by limiting the reimbursement rates paid to providers by Medicare and Medicaid, and generally pays much less for each service than private insurers. Finding the best health insurance quotes is as simple as comparing plans.\n\nCompared with regional averages, patients at Virginia Mason’s Spine Clinic miss fewer days of work (4.3 versus 9 per episode) and need fewer physical therapy visits (4.4 versus 8.8). In addition, the use of MRI scans to evaluate low back pain has decreased by 23% since the clinic’s launch, in 2005, even as outcomes have improved.\n\nThey both told me about people they know who don’t work and yet get Medicaid coverage with no premiums, no deductibles, no co-pays, no costs at all—coverage that the Duttons couldn’t dream of. These educational institutions in compliance with insurance providers, educate the students of the pros and cons of this insurance plan and provoke them to buy a policy.