Affordable Care Act: Impact on Providers
Quality vs. Quantity
The Affordable Care Act’s proposal was to make sure that health insurance coverage is affordable for individuals, families, and businesses and decrease the amount of uninsured individuals. . Much of the impact of this act will begin when the major coverage provisions take effect in 2014. Providers will experience an increased burden in many aspects of their medical profession including new legal practicing liabilities, less autonomy, administrative encumbrances, shortages of primary care physicians, and political infringement (Horton, Hollier 2012). The provider is to maintain high quality of care while the ACA’s agenda is cost and quantity over quality.
The Affordable Care Act is the largest piece of legislative reform in American history relating to health care. The impact to our economy on many levels of scale and our constitutional rights are all being questioned and debated without a definitive answer to long term reality of its implications. Reform is necessitous to the continuance of providing care, controlling fraudulent activities and waste, as well as, exploring new innovative ways to maintain a high level of quality services within the legalities of our legislative branch. The balance of these aspects have been challenging and perplexing in materializing the reforms into fruition. The concentration during reform has been on quantity of the insured population, effects on businesses as in tax benefits, taxation, and the CMS. The ACA, legislatively is in the beginning stages to reform health care. Thus far the application of reform are in disarray as it is on the operating table cut wide open and bleeding out, without a surgeon in the room. The complexity has the medical society and American constituents confused and anxious of its impact. Providers have great apprehension of more government intervention, less reimbursement and incentives for Medicaid and more red tape. The expectations of flooding the providers with millions of newly insured has profound implications. The burden of administrative encumbrances, shortages of physicians, more government intervention, less autonomy and new legal practicing liabilities will affect the quality of care at its heart. A doctor of medicine is to date referred to as a provider. The categorical job description has impacted the art of medicine in the public’s eye. The term provider devalues the medical professional, whereby preparing the industry to become regulated and physicians to be humbled. “The legal system determines health care and the focus is on quality, regardless of cost” (Horton, Hollier, 2012). “I will remember that there is art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeons’ knife or the chemist drug”(Lasagna, 1964,modern, para. 2). The modern Hippocratic Oath has not changed dramatically from when it was first written by Hippocrates, to bind the privacy of patients, the obligations to society and the responsibility of providing care and prevention. However, the how of applying their Oath in regards to the job description of physicians is evolving. “Ultimately under the ACA, physicians carry the legal burden. Physicians cannot follow the new legislation’s pronouncements to reduce health care costs in the face of a legal system that demands they practice excessive-cost care”(Horton, Hollier, 2012). The consequences of physicians facing the changes of cost effectiveness through legislation and the legality of the practice and what is required can lead to ethical decision conflicts, fraudulent practices, and inappropriate outcomes. The legal system requires that physicians meet the standard of care otherwise they are negligent. (Horton, 2012) The requisite standard of care is determined by evaluating the performance and abilities of a doctor's practices...
References: Bloom, H. (1987). Proverbs. The Bible. New York: Chelsea House.
Hargreaves, S. (2013, June 11). Cash only doctors abandon the insurance system. CNN Money, Retrieved from http://money.cnn.com/2013/06/11/news/economy/cash-only-doctors
Horton, J., & Hollier, L
Japsen, B. (2013, January 30). 1 in 10 doctor practices flee medicare to concierge medicine. Forbes, Retrieved from http://www.forbes.com/sites/brucejapsen/2013/01/30/1-in-10-dictir-oractuces-flee-medicare-to-concierge-medicine/
Lasagna, L. (2001, November 7). Louis lasagna. Retrieved from http://en.wikipedia.org/wiki/Louis_Lasagna
McClellan, M., & Shadegg, J
Moffit, R. (2012). The current state of health care reform: the physicians. Heritage Foundation, Retrieved from http//www.online.wsj.com/article/SB10001424052748704122904575315213525018390.html
Nachimson. (2008). the impact of implementingicd-10. Aetna Health, Retrieved from http://www.athenahealth.com/knowledge-hub/ICD-10/medical-procedure-codes.php
Sanniec, K., & Gellis, M
Simple care. (2013, October). Retrieved from http://simplecare.com/about-patients.asp
Zamosky, L. (2012, July 1). Owner or employee. Medical Economics, 89(13), 18. Retrieved from http://www.questia.com
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