How will health care ruling affect hospitals?

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The supreme -- health care ruling leaves unanswered questions for the nation's hospitals how will the new law affect future ER visits for example.

And whatever patients who remain without insurance who will cover their medical costs Jonathan's.

Is live from Atlanta now it is home to one of the largest public hospitals in the country so Jonathan not high and how will this affect Grady memorial.

Good morning -- -- Grady memorial that public hospital treats more than 100000.

Uninsured patients in a year last year that cut treatment amounted to it.

Toward 200 million dollars in un reimbursed cost many of those charges are passed on.

To local tax -- but the Affordable Care Act would change that listen.

A third of the patients we take care of here -- -- have no insurance whatsoever and because of that have limited access to health care.

And so for those individuals now they we'll have -- payment source.

But -- CEO John hopper says the uninsured tend to -- treatment so as more people get access to health insurance.

There could be unprecedented.

Demand.

On hospitals nationwide so those hospitals need to prepare -- again.

So how do you accommodate the demand without overloading the system.

-- public health advocates say you need to take the pressure off the emergency rooms for far too many Americans they're using the ER.

As their primary care they say instead.

You need to devote more attention to preventive care Emory University is testing one program that pays.

Primary care doctors nurses and even trained office staff.

To check up on patients by phone or email.

In between office visits to monitor chronic conditions such as diabetes or high blood pressure listen.

If you can recognize those signs early enough in jump on -- -- enough regardless of the kind of office practice that you have.

You might be able to keep the patient from ever needing to go to the emergency room.

This model called the patient centered medical home is more costly on the front end but advocates believe in the long run it'll save money by preventing.

Treatable conditions from turning into a very expensive hospital emergencies -- again Jonathan Serrie live in Atlanta.

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