Now that it appears that the Patient Protection and Affordable Care Act (PPACA) will move forward and become implemented gradually over the next few years; it is paramount that we look at the long term consequences of the act.One of the major provisions of the PPACA is that insurance companies must provide free screenings and preventive testing to all of their policy holders. Now everyone knows that there is no free lunch, so these “free” items provided to the policy holder are charged to every policy holder through higher insurance premiums. It is the same ploy used by other retailers.
President Obama's re-election to the White House will likely accelerate plans to comply with the Patient Protection and Affordable Care Act (PPACA). Tuesday's win for Obama will likely unleash a “torrent of rules that have been withheld until after the election," states David Merrit, managing director of intelligence business firm, Leavitt Partners. For example, payers can expect to see regulations for federal exchanges, guaranteed issues, rating limitations and community ratings, maybe even by the end of this week, Merritt noted.
As the entire healthcare industry is undergoing major reforms, maybe it is time that we look at updating one of the foundations of healthcare. The Hippocratic Oath has been is existence for centuries as an ideal on which a physician’s ethics has been based. Even though everyone has heard of the Hippocratic Oath, there are very few physicians, let alone lay people, who have actually read it or know what it contains. For instance, the Hippocratic Oath doesn’t actually contain its most quoted part: “first do no harm.”
The answer is “Yes”, depending on how the question is worded, or who you are asking. There are so many variables concerning the Patient Protection and Affordable Care Act (PPACA or ACA) that no one really knows the answer to this question. But, you can provide your own answer to the question, based on the following assumptions: An estimated 10-15 million new Americans will qualify for Medicaid due to the passage of the ACA The ACA will cut the Federal deficit by $500 billion Who do you think will have to pickup the tab? Now, personally, I…
Thursday, 16 August 2012
Written by DG Comfort
The Patient Protection and Affordable Care Act of 2011 (PPACA or ACA) will have a dramatic affect on every insurance company in America. How these changes will ultimately affect Americans and healthcare providers will depend on how insurance companies adapt to meet all the requirements of the ACA while they attempt to remain profitable. Let’s be perfectly clear on one item: The purpose of the ACA is to force insurance companies out of business, so that the only option available for Americans is to depend on the government to provide healthcare insurance. Get ready for Medicare/Medicaid type coverage for patients…
Thursday, 05 July 2012
Written by Sherry Krueger
Americans hate to be told what to do! How many times has a patient walked into your office and told you that they saw a commercial on TV and they want a specific drug? Or they self-diagnosed themselves on the internet and they just need a referral. Even owning your own practice you can’t get away from being told what to do. And we play nice until it is time to not play nice. After all, you are the one with the medical degree, if you could get a doctorate on Google for $19.95 every 19 year old in their…
The Obama administration made a major concession last week when it announced that it was scrapping the long term care program known as ‘Community Living Assistance Services and Supports’ (Class). Kathleen Sebelius, the secretary of Health and Human Services (HHS) said that she had concluded that premiums would be so high that few healthy people would sign up. The program, which was intended for people with chronic illnesses or severe disabilities, was championed by Senator Edward Kennedy before his death.
Tuesday, 04 October 2011
Written by DG Comfort
The latest incarnation of managed care organizations are the Accountable Care Organizations (ACO) which are an important part of the Patient Protection and Affordable Care Act (PPACA). ACO’s promise to save the government billions of dollars in healthcare outlays by supposedly decreasing the amount of unnecessary medical care provided for the patient. The assumption is that there are billions of dollars of unnecessary medical treatment billed to the governmental payers- Medicare and Medicaid
Every day we grow closer to the full implementation of the Patient Protection and Affordable Care Act (PPACA), which becomes fully enforcable by 2014. This is, conveniently, long after the general elections of 2012 and the politicians who brought this legislation on the American public are safely insulated from their votes on the bill by the short term memory of American voters. However, the effects of the legislation are already taking its toll on the American public, their health care, and the economy in general. I came across several articles recently, which highlight some of the concerns that the opponents…
Tuesday, 30 August 2011
Written by DG Comfort
For hospitals and physicians who want to continue to treat Medicare/Medicaid patients, there doesn’t seem to be much good news out there. The latest news concerns the health of new Medicaid enrollees. Americans who will enter the Medicaid program as a result of healthcare reform will be sicker than the typical program enrollee, translating into higher costs, at least initially, reports The Hill's Healthwatch. This conclusion comes from a study commissioned by Washington, D.C. based Avalere Health, which found that two-thirds of current Medicaid enrollees report being in "excellent" or "very good" health, but that only about half of those…