Orient predicts under Obamacare that healthcare quality will decline and consumers will have to pay higher premiums and out-of-pocket costs.
In addition, electronic record keeping is a burden both in terms of cost and time. Doctors who support Obamacare acknowledge reimbursements and payments are problems. However, they say those issues were around long before the ACA. According to the latest Gallup poll , the uninsured rate for U. Alice Chen, a Los Angeles physician who is executive director of the left-leaning Doctors for America, agrees. She tells the story of a patient who had a constant cough.
When he finally got insurance, he came in for an evaluation and was diagnosed with congestive heart failure. Chen believes there is a generational divide on electronic record keeping, with younger physicians more open to the requirement.
Overall, Chen says the resistance to Obamacare may simply be growing pains as the nation tries to fix its faulty healthcare system. The Affordable Care Act appears to be positively affecting the health of a nation, a new study concludes. The ACA has become a key component of healthcare for millions of Americans. Yet many people are still unclear about what it is, how it works, and what….
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Pre - Anesthesia - RN 0. Psychiatry-RNs 0. Pulmonary 0. Quality Assurance 0. Quality Assurance Epidemiology - RN 0. Registered Nurse First Assistant 0. Rehabilitation 1. Rehabilitation-RN 0. Respiratory - RN 0. This could lead to a shortage of doctors available to some patients and too many patients for the doctors in such networks.
According to the National Physicians Alliance, a few key factors will play a role in patient care now that Obamacare is in place. Doctors and patients are affected in these ways:. Some reports indicated that doctors would see lower payments once Obamacare went into effect. Yet this may not be the case. In some instances, Obamacare may lead to improved financials. Doctors with small practices can also save money, like most other businesses, by shopping for insurance for their employees through the health insurance marketplace, potentially decreasing costs.
The marketplace allows small practices to join together to shop for such coverage. Many hospitals began purchasing smaller doctor practices prior to Obamacare going into effect. This was because the new law endorses Accountable Care Organizations, which bring together smaller practices. Many solo practices have worked to move towards larger ones, mainly because the cost of implementing policies and procedures under the new law is burdensome. This includes increasing regulations, the use of new electronic health records and shifting referral patterns.
Some doctors believe this is bad for business, citing a similar trend toward hospitals buying out doctors that occurred in the s. Doctors working as employees of hospitals are likely to work less, leading to decreases in wages due to lower productivity. Cigna runs 28 patient-centered initiatives in 17 states, involving more than physicians. Keegan said that practices should take advantage of the extra funds and services that payers are currently offering in such programs, because they may not last.
For example, as physicians become more efficient in shared savings programs in ACOs, the base payment rate will decline. She warned, however, that the transition from fee-for-service to new payments might be bumpy. The new payment methodologies also require sophisticated IT systems, a great deal of data-reporting, and shared networks, according to Dr.
Walton at the Genesis IPA. Genesis, which is applying to start a Medicare ACO, is asking its physicians to engage patients through new technologies, such as text messaging and email. Walton said. Right now, Keegan said, the penalties do not exceed 1.
Those levels would have a significant impact on practices, Keegan said. The PQRS penalty follows up on a voluntary reporting program that most practices did not participate in. A CMS report found that only 1 in 5 physicians and other eligible health professionals reported PQRS quality measures to CMS in , and only a little over half of those participants scored well enough to receive an incentive payment.
Physicians will also be affected by value-based modifiers in Those who will feel the impact have already begun receiving previews of their scores. The new insurance exchanges are supposed to be the next step in healthcare consumerism. Healthcare consumers can also pick a physician by going to the Physician Compare Website, which CMS rolled out in December and significantly upgraded this past June.
Consumers can now search for physicians by name, medical group, hospital affiliation, address, ZIP code, and proximity to a shopping center or other landmark. They can also look for physicians who are board-certified or participate in the meaningful use program. In , Physician Compare was supposed to add quality data gathered by PQRS, but that has been postponed until next year, according to an email from a CMS spokesperson. CMS has agreed to a day preview period for physicians to view their information before it is posted.
Keegan says that physicians are right to be nervous about what will be posted on Physician Compare, because it will become a very useful consumer tool.
Accepting the Future of the ACA Until last year, many physicians expected that the ACA could easily be repealed and they might never have to deal with it. A survey by Deloitte[12] found that 8 in 10 physicians thought the law would continue as planned.
Even Dr.
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