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Chattanooga's success in achieving bargain-priced policies offers valuable lessons for other parts of the country as they seek to satisfy consumers with insurance networks that limit their choices of doctors and hospitals.
The 1 percent cut in payments is the latest effort by the federal government to improve hospital care.
Before assessing penalties, Medicare assesses rates of infection among patients with catheters in major veins and in the bladder and eight other patient injuries, such as blood clots, bed sores and accidental falls.
Readmissions and patient injuries decrease as new government programs take effect.
In the "Choosing Wisely" campaign, medical specialty societies have published lists of procedures that doctors and patients should consider skeptically. But some groups overlooked their own dubious, but profitable procedures.
But physicians and database experts caution that the information can be easily misconstrued or misunderstood.
The first public evaluation of how 141 networks of doctors and hospitals performed looks at five quality measures for patients with diabetes and heart disease.
Areas that offer the least expensive exchange premiums are marked by robust competition, salaried doctors and health systems that organize care.
In an area with moderate incomes and cost of living, insurance premiums on the new health law marketplace are nearly the highest in the country.
The ranking is based on the lowest price "silver" plan, which is the mid-level plan that the majority of consumers are selecting. The listed monthly premiums are for a 40-year-old person.
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